Provider Demographics
NPI:1124168588
Name:SAWYER, CARLYNN (SLP)
Entity type:Individual
Prefix:MS
First Name:CARLYNN
Middle Name:
Last Name:SAWYER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1825 E ANDROMEDA PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-3414
Mailing Address - Country:US
Mailing Address - Phone:520-742-5827
Mailing Address - Fax:
Practice Address - Street 1:2315 W CANADA ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85746-2209
Practice Address - Country:US
Practice Address - Phone:520-908-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPL0572235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist