Provider Demographics
NPI:1174548614
Name:FRANKLIN, SARA J (AUD)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:J
Last Name:FRANKLIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 GRAND LIDO
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39507-5302
Mailing Address - Country:US
Mailing Address - Phone:732-648-4703
Mailing Address - Fax:
Practice Address - Street 1:2781 CT SWITZER DRIVE
Practice Address - Street 2:SUITE 400
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39531
Practice Address - Country:US
Practice Address - Phone:228-388-4585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHA495231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30433314Medicaid
NH30433314Medicaid