Provider Demographics
NPI:1861970352
Name:BARTON, SARAH REBECCA (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:REBECCA
Last Name:BARTON
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 1:1936 ROSE CT
Mailing Address - Street 2:
Mailing Address - City:GRAPEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:76051-6991
Mailing Address - Country:US
Mailing Address - Phone:832-338-6914
Mailing Address - Fax:
Practice Address - Street 1:2730 N STEMMONS FWY STE M-21
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75207-2279
Practice Address - Country:US
Practice Address - Phone:972-331-9100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-06
Last Update Date:2018-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110894235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist