Provider Demographics
NPI:1992412407
Name:WOODLAND, SARA
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:WOODLAND
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 1:3968 W 5650 S
Mailing Address - Street 2:
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067-9134
Mailing Address - Country:US
Mailing Address - Phone:385-383-1734
Mailing Address - Fax:
Practice Address - Street 1:3968 W 5650 S
Practice Address - Street 2:
Practice Address - City:ROY
Practice Address - State:UT
Practice Address - Zip Code:84067-9134
Practice Address - Country:US
Practice Address - Phone:385-383-1734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist