Provider Demographics
NPI:1730963315
Name:DAYNES, SARAH JOY
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:JOY
Last Name:DAYNES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:JOY
Other - Last Name:FAIRBANKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1498 W 80 S
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-3691
Mailing Address - Country:US
Mailing Address - Phone:801-891-2444
Mailing Address - Fax:
Practice Address - Street 1:104 W MEDICAL DR STE 1
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:UT
Practice Address - Zip Code:84045-3191
Practice Address - Country:US
Practice Address - Phone:801-955-3600
Practice Address - Fax:801-955-3600
Is Sole Proprietor?:No
Enumeration Date:2023-08-23
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical