Provider Demographics
NPI:1205175114
Name:SMITH, SARAH S (CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:S
Last Name:SMITH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:ASHLEY
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:131 PURCHASE ST
Mailing Address - Street 2:APT B2
Mailing Address - City:RYE
Mailing Address - State:NY
Mailing Address - Zip Code:10580-2139
Mailing Address - Country:US
Mailing Address - Phone:703-402-8560
Mailing Address - Fax:
Practice Address - Street 1:131 PURCHASE ST
Practice Address - Street 2:APT B2
Practice Address - City:RYE
Practice Address - State:NY
Practice Address - Zip Code:10580-2139
Practice Address - Country:US
Practice Address - Phone:703-402-8560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202010609235Z00000X
NY022555235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist