MEDICARE: SARAH DAVIS M.S. CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	107757	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8ES434	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1427450931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH DAVIS M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	1008 BAILEY RANCH RD
Second Line	:
City	:	ALEDO
State	:	TX
Zip	:	76008-3110
Country	:	US
Telephone Number	:	817-441-8327
Fax Number	:

Provider Business Practice Location Address
First Line	:	1008 BAILEY RANCH RD
Second Line	:
City	:	ALEDO
State	:	TX
Zip	:	76008-3110
Country	:	US
Telephone Number	:	817-441-8327
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2014
Last Update Date	:	04/30/2026

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Directions to “ SARAH DAVIS M.S. CCC-SLP” Practice Location

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