Provider Demographics
NPI:1548078496
Name:PIERSON, SARA DEVI (SLPA)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:DEVI
Last Name:PIERSON
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 BAREFOOT CV
Mailing Address - Street 2:
Mailing Address - City:HYPOLUXO
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6508
Mailing Address - Country:US
Mailing Address - Phone:954-415-7643
Mailing Address - Fax:
Practice Address - Street 1:8177 GLADES RD STE 202
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33434-4022
Practice Address - Country:US
Practice Address - Phone:561-270-4433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI74902355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant