Individual
SARA HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2741 RIVERSIDE BLVD, SACRAMENTO, CA 95818-2900
(916) 426-6005
Mailing address
2736 14TH ST, SACRAMENTO, CA 95818-2924
(916) 501-2171
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
5650
CA
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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