=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902789167
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MRS. SARAH ANN STEVENSON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/28/2025
-----------------------------------------------------
Last Update Date | 07/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8001 S US HIGHWAY 75
-----------------------------------------------------
City | SHERMAN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75090-5707
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-835-5435
-----------------------------------------------------
Fax | 903-532-1401
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5720 FOREST PARK RD APT 4407
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75235-6427
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-455-3492
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2355S0801X
-----------------------------------------------------
Taxonomy Name | Speech-Language Assistant
-----------------------------------------------------
License Number | 38864
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------