Provider Demographics
NPI:1669875613
Name:DURRANCE, SARAH MARIE (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:SARAH
Middle Name:MARIE
Last Name:DURRANCE
Suffix:
Gender:
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:MARIE
Other - Last Name:SURPRENANT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:860 STRONG RD
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32351-5243
Mailing Address - Country:US
Mailing Address - Phone:850-627-0476
Mailing Address - Fax:850-807-2970
Practice Address - Street 1:860 STRONG RD
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-5243
Practice Address - Country:US
Practice Address - Phone:850-627-0476
Practice Address - Fax:850-807-2970
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-06
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA13903235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist