Provider Demographics
NPI:1770134538
Name:CURRAN, SARAH JEAN (MS SLP/CCC)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JEAN
Last Name:CURRAN
Suffix:
Gender:F
Credentials:MS SLP/CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:WINOOSKI
Mailing Address - State:VT
Mailing Address - Zip Code:05404-1402
Mailing Address - Country:US
Mailing Address - Phone:802-356-3646
Mailing Address - Fax:
Practice Address - Street 1:174 AVENUE C
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-7840
Practice Address - Country:US
Practice Address - Phone:802-662-7831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-24
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0-19-10085103K00000X
VT144.0134205235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT6702362Medicaid