Provider Demographics
NPI:1457182685
Name:MILES, SARAH ROBERSON (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:ROBERSON
Last Name:MILES
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 CEDARWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29154-5410
Mailing Address - Country:US
Mailing Address - Phone:478-867-3820
Mailing Address - Fax:
Practice Address - Street 1:26 WILLOW DR
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-4160
Practice Address - Country:US
Practice Address - Phone:803-773-5796
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8528235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist