Provider Demographics
NPI:1366050882
Name:WESTRICK, SARAH JO
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JO
Last Name:WESTRICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 W QUEEN CREEK RD APT 2136
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-3224
Mailing Address - Country:US
Mailing Address - Phone:928-864-8763
Mailing Address - Fax:
Practice Address - Street 1:2715 S ALMA SCHOOL RD STE 3
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-4402
Practice Address - Country:US
Practice Address - Phone:480-508-5252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist