Provider Demographics
NPI:1265919450
Name:SANDERS, DAYNA LEIGH (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:DAYNA
Middle Name:LEIGH
Last Name:SANDERS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8050 MUKILTEO SPEEDWAY UNIT 65
Mailing Address - Street 2:
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-7002
Mailing Address - Country:US
Mailing Address - Phone:425-588-0450
Mailing Address - Fax:
Practice Address - Street 1:12221 VILLAGE CENTER PL STE 101
Practice Address - Street 2:
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-6080
Practice Address - Country:US
Practice Address - Phone:425-588-0450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-20
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60741493235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist