Provider Demographics
NPI:1538404645
Name:TERHUNE, SARA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:TERHUNE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:918 S LOGAN ST
Mailing Address - Street 2:#103
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-4156
Mailing Address - Country:US
Mailing Address - Phone:816-589-7944
Mailing Address - Fax:
Practice Address - Street 1:918 S LOGAN ST
Practice Address - Street 2:#103
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80209-4156
Practice Address - Country:US
Practice Address - Phone:816-589-7944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14047547235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist