Provider Demographics
NPI:1720774755
Name:KEEGAN, SARAH (AMFT)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:KEEGAN
Suffix:
Gender:F
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1175 S 800 E
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-7230
Mailing Address - Country:US
Mailing Address - Phone:801-528-1504
Mailing Address - Fax:
Practice Address - Street 1:1175 S 800 E
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-7230
Practice Address - Country:US
Practice Address - Phone:801-528-1504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03499106H00000X
UT14056295-3904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist