Provider Demographics
NPI:1780106203
Name:BURTON, SARAH M
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:M
Last Name:BURTON
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:SARAH
Other - Middle Name:M
Other - Last Name:SHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2539 E NORA ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85213-1528
Mailing Address - Country:US
Mailing Address - Phone:480-358-5113
Mailing Address - Fax:
Practice Address - Street 1:2539 E NORA ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85213-1528
Practice Address - Country:US
Practice Address - Phone:480-358-5113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA106312355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant