Provider Demographics
NPI:1265997878
Name:MUIR, SARAH JANE (BC-HIS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JANE
Last Name:MUIR
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1246 S LEGEND HILLS DR STE A2
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84015-2273
Mailing Address - Country:US
Mailing Address - Phone:801-784-6900
Mailing Address - Fax:
Practice Address - Street 1:1246 S LEGEND HILLS DR STE A2
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015-2273
Practice Address - Country:US
Practice Address - Phone:801-784-6900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-07
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9035134-4601237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist