Provider Demographics
NPI:1730808734
Name:HUGHES, SARA MARIA (MA, CCC-SLP, TSSLD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:MARIA
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MA, CCC-SLP, TSSLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 MILL LN
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-5505
Mailing Address - Country:US
Mailing Address - Phone:516-434-5710
Mailing Address - Fax:
Practice Address - Street 1:25 MILL LN
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-5505
Practice Address - Country:US
Practice Address - Phone:516-434-5710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033357235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist