Provider Demographics
NPI:1821582719
Name:SCHILATY, SADIE (AUD)
Entity Type:Individual
Prefix:
First Name:SADIE
Middle Name:
Last Name:SCHILATY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:SADIE
Other - Middle Name:
Other - Last Name:STARLING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1747 E SUNRISE PARK DR
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84093-2448
Mailing Address - Country:US
Mailing Address - Phone:801-792-7592
Mailing Address - Fax:
Practice Address - Street 1:50 N. MEDICAL DRIVE, CLINIC 9
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-0001
Practice Address - Country:US
Practice Address - Phone:801-587-8368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-14
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10823575-4101231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist