Provider Demographics
NPI:1861766602
Name:SUTHERLAND, SARAH SAVARESE (MS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:SAVARESE
Last Name:SUTHERLAND
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2640 WESTCHESTER DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5228
Mailing Address - Country:US
Mailing Address - Phone:910-849-7222
Mailing Address - Fax:
Practice Address - Street 1:2640 WESTCHESTER DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-5228
Practice Address - Country:US
Practice Address - Phone:910-849-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-24
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11790235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist