Provider Demographics
NPI:1285226589
Name:TOOLSON, SARAH DAVIS (MS)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:DAVIS
Last Name:TOOLSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1787 E THUNDER GULCH RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE MOUNTAIN
Mailing Address - State:UT
Mailing Address - Zip Code:84005-5525
Mailing Address - Country:US
Mailing Address - Phone:904-803-3833
Mailing Address - Fax:
Practice Address - Street 1:1787 E THUNDER GULCH RD
Practice Address - Street 2:
Practice Address - City:EAGLE MOUNTAIN
Practice Address - State:UT
Practice Address - Zip Code:84005-5525
Practice Address - Country:US
Practice Address - Phone:904-803-3833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10519954-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist