Provider Demographics
NPI:1871751503
Name:HAUSSER, SARA J (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SARA
Middle Name:J
Last Name:HAUSSER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:J
Other - Last Name:SKALITZKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:717 LINKS DR
Mailing Address - Street 2:
Mailing Address - City:POYNETTE
Mailing Address - State:WI
Mailing Address - Zip Code:53955-8304
Mailing Address - Country:US
Mailing Address - Phone:608-742-8311
Mailing Address - Fax:
Practice Address - Street 1:717 LINKS DR
Practice Address - Street 2:
Practice Address - City:POYNETTE
Practice Address - State:WI
Practice Address - Zip Code:53955-8304
Practice Address - Country:US
Practice Address - Phone:608-742-8311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI42581100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist