Healthcare Provider Details

I. General information

NPI: 1558176602
Provider Name (Legal Business Name): SARAH MARGARET HURD M.S., CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2025
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 CHINABERRY DR STE 100
BOSSIER CITY LA
71111-2466
US

IV. Provider business mailing address

1041 CHINABERRY DR STE 100
BOSSIER CITY LA
71111-2466
US

V. Phone/Fax

Practice location:
  • Phone: 318-746-1199
  • Fax:
Mailing address:
  • Phone: 318-746-1199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9650
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: