Provider Demographics
NPI:1336997147
Name:COOK, SABINA (MS, LCGC)
Entity Type:Individual
Prefix:
First Name:SABINA
Middle Name:
Last Name:COOK
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4431 S CONSTITUTION BLVD
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84129-8600
Mailing Address - Country:US
Mailing Address - Phone:801-584-8256
Mailing Address - Fax:801-536-0966
Practice Address - Street 1:4431 S CONSTITUTION BLVD
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84129-8600
Practice Address - Country:US
Practice Address - Phone:801-584-8256
Practice Address - Fax:801-536-0966
Is Sole Proprietor?:No
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT13297964-3601170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS