Provider Demographics
NPI:1417654294
Name:WESTHOFF, SARA LYNN (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:LYNN
Last Name:WESTHOFF
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:SARA
Other - Middle Name:LYNN
Other - Last Name:MAYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:207 10TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:LE MARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031-1741
Mailing Address - Country:US
Mailing Address - Phone:712-220-3119
Mailing Address - Fax:
Practice Address - Street 1:207 10TH AVE SE
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-1741
Practice Address - Country:US
Practice Address - Phone:712-541-1954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA083713235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist