Healthcare Provider Details

I. General information

NPI: 1790991370
Provider Name (Legal Business Name): SARAH T HAYES MA, MS CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARAH T STRAM

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 04/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 CENTRAL RD
RYE BEACH NH
03871-0057
US

IV. Provider business mailing address

PO BOX 57
RYE BEACH NH
03871-0057
US

V. Phone/Fax

Practice location:
  • Phone: 603-964-6091
  • Fax: 203-413-6251
Mailing address:
  • Phone: 603-964-6091
  • Fax: 203-413-6251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP317
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number0367
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3231
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: