Provider Demographics
NPI:1538792650
Name:WELCH, SARAH HARRIS (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:HARRIS
Last Name:WELCH
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 1:2804 PIEDRA DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-5412
Mailing Address - Country:US
Mailing Address - Phone:832-260-8977
Mailing Address - Fax:
Practice Address - Street 1:2804 PIEDRA DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-5412
Practice Address - Country:US
Practice Address - Phone:832-260-8977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-17
Last Update Date:2020-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106718235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist