Provider Demographics
NPI:1356792162
Name:HUMMEL, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:HUMMEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:637 SOUTH 600 EAST, APT 8A
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY - SALT LAKE
Mailing Address - State:UT
Mailing Address - Zip Code:84102
Mailing Address - Country:US
Mailing Address - Phone:636-448-3155
Mailing Address - Fax:
Practice Address - Street 1:500 FOOTHILL DRIVE, SARAH HUMMEL
Practice Address - Street 2:VA SALT LAKE CITY, GENOMIC MEDICINE (10P4E)
Practice Address - City:SALT LAKE CITY - SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84148
Practice Address - Country:US
Practice Address - Phone:636-448-3155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS