Basic Information
Provider Information
NPI: 1922274075
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BAUR
FirstName: SARAH
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: MA,CCC-A
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1514 JEFFERSON HWY
Address2:  
City: NEW ORLEANS
State: LA
PostalCode: 701212429
CountryCode: US
TelephoneNumber: 5048424000
FaxNumber:  
Practice Location
Address1: 120 MEADOWCREST ST STE 200
Address2:  
City: GRETNA
State: LA
PostalCode: 700565248
CountryCode: US
TelephoneNumber: 5043917650
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/07/2008
LastUpdateDate: 04/08/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X4904LAY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


Home