Provider Demographics
NPI:1366068546
Name:HART, SARAH FAYE (AUD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:FAYE
Last Name:HART
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:FAYE
Other - Last Name:PHIPPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:938 NATIONAL HWY
Mailing Address - Street 2:
Mailing Address - City:LAVALE
Mailing Address - State:MD
Mailing Address - Zip Code:21502
Mailing Address - Country:US
Mailing Address - Phone:301-729-1635
Mailing Address - Fax:301-729-1697
Practice Address - Street 1:938 NATIONAL HWY
Practice Address - Street 2:
Practice Address - City:LAVALE
Practice Address - State:MD
Practice Address - Zip Code:21502-7326
Practice Address - Country:US
Practice Address - Phone:301-729-1635
Practice Address - Fax:301-729-1697
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-23
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01529231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD799233500Medicaid