Healthcare Provider Details

I. General information

NPI: 1902789167
Provider Name (Legal Business Name): MRS. SARAH ANN STEVENSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 S US HIGHWAY 75
SHERMAN TX
75090-5707
US

IV. Provider business mailing address

5720 FOREST PARK RD APT 4407
DALLAS TX
75235-6427
US

V. Phone/Fax

Practice location:
  • Phone: 832-835-5435
  • Fax: 903-532-1401
Mailing address:
  • Phone: 214-455-3492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number38864
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: