Basic Information
| Provider Information | |||||||||
| NPI: | 1700237971 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAVAGLIO | ||||||||
| FirstName: | SARA | ||||||||
| MiddleName: | A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 LILLY RD NE | ||||||||
| Address2: | |||||||||
| City: | OLYMPIA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 985065115 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5092417938 | ||||||||
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| Practice Location | |||||||||
| Address1: | 700 LILLY RD NE | ||||||||
| Address2: | |||||||||
| City: | OLYMPIA | ||||||||
| State: | WA | ||||||||
| PostalCode: | 985065115 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3609237000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2016 | ||||||||
| LastUpdateDate: | 06/08/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SI 60594332 | WA | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.