Sarah Holt, M.S., CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Lake Providence, LA

NPI 1245782846 · NPPES record last updated Oct 30, 2016

Key facts

NPI
1245782846
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
7396 (LA)
Practice address
303 Wyly Dr
Lake Providence, LA 71254-5359
Phone
(318) 282-9013
NPI assigned
Oct 30, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
7396LAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7396 LA Yes

Addresses

Primary practice location

303 Wyly Dr
Lake Providence, LA 71254-5359

Mailing address

303 Wyly Dr
Lake Providence, LA 71254-5359
Phone (318) 282-9013

Other providers in Lake Providence, LA

All providers in Lake Providence, LA · Speech-Language Pathologist in Louisiana

Sources for this page

Verify at the official NPI Registry.