Healthcare Provider Details

I. General information

NPI: 1770134538
Provider Name (Legal Business Name): SARAH JEAN CURRAN MS SLP/CCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2019
Last Update Date: 09/27/2021
Certification Date: 09/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

174 AVENUE C
WILLISTON VT
05495-7840
US

IV. Provider business mailing address

175 FRANKLIN ST
WINOOSKI VT
05404-1402
US

V. Phone/Fax

Practice location:
  • Phone: 802-662-7831
  • Fax:
Mailing address:
  • Phone: 802-356-3646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number144.0134205
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0-19-10085
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: