Wakeland, Sue Anne
Wakeland, Sue Anne is an sole proprietor health care provider with primary practice located at 25 Alpine Ave , Pleasant Grove UT 84062-3511. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Wakeland, Sue Anne can be contacted via phone (801) 785-3568.Contact Information
Primary practice address
25 Alpine Ave
Pleasant Grove UT 84062-3511
Phone: (801) 785-3568
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 5319199-4102 | Utah |
Profile Details
| NPI number | 1386841997 |
|---|---|
| LBN Legal business name | Wakeland, Sue Anne |
| Credentials | MED CCC SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386841997 | NPPES |
| Utah | MEDICAID | 870574059031 |
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