Provider Demographics
NPI:1982874996
Name:DONNELLY, SARAH HENRY (MA)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:HENRY
Last Name:DONNELLY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:11 LEISURE LN
Mailing Address - Street 2:
Mailing Address - City:WEAVERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28787-9300
Mailing Address - Country:US
Mailing Address - Phone:828-450-5555
Mailing Address - Fax:
Practice Address - Street 1:121 SHILOH RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:828-277-1315
Practice Address - Fax:828-277-1321
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
NC12078020235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist