Active NPI
Sara Deyoung
- Speech-Language Pathologist
- Anderson, SC
National Provider Identifier
1154845097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5976
- Practice address
- 210 N McDuffie St Ste LL5
Anderson, SC 29621-5646 - Phone
- (843) 314-5434
- Fax
- (888) 510-9156
- NPI assigned
- Aug 2, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5976 | SC | Primary |
Addresses
Primary practice location
210 N McDuffie St Ste LL5
Anderson, SC 29621-5646
Mailing address
9565 Highway 78 Ste 102
Ladson, SC 29456-4118
Phone (843) 314-5434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1154845097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9565 HIGHWAY 78 STE 102",
"city": "LADSON",
"state": "SC",
"postal_code": "294564118",
"telephone_number": "843-314-5434",
"fax_number": "888-510-9156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N MCDUFFIE ST STE LL5",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296215646",
"telephone_number": "843-314-5434",
"fax_number": "888-510-9156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEYOUNG",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "5976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.