Provider Demographics
NPI:1043015357
Name:SHAFFER, SARA
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:
Last Name:SHAFFER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 CONGRESS ST APT 3
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-3320
Mailing Address - Country:US
Mailing Address - Phone:603-809-8910
Mailing Address - Fax:
Practice Address - Street 1:100 JACK LOVERING DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03109-4922
Practice Address - Country:US
Practice Address - Phone:603-624-6330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3306235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist