Sadie Renee Vandyke, MS, CCC-SLP is a
Speech-language Pathologist based in Washington, Utah. Sadie Renee Vandyke is licensed to practice in Utah (license number 12680527-4102) and her current practice location is
1525 E Ovation Pl, Washington, Utah. She can be reached at her office (for appointments etc.) via phone at
(208) 399-2072.
NPI number for Sadie Renee Vandyke is 1790414183 and her current mailing address is 25117 Sw Parkway Ave Ste D, Wilsonville, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790414183.
Healthcare Provider's Profile
| Full Name | Sadie Renee Vandyke |
|---|
| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 1525 E Ovation Pl, Washington, Utah |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790414183
- Provider Enumeration Date: 06/09/2022
- Last Update Date: 06/09/2022
Medical Identifiers
Medical identifiers for Sadie Renee Vandyke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790414183 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 235Z00000X | Speech-language Pathologist | 12680527-4102 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sadie Renee Vandyke is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Sadie Renee Vandyke, MS, CCC-SLP 25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697 Ph: () - | Sadie Renee Vandyke, MS, CCC-SLP 1525 E Ovation Pl, Washington, UT 84780-2759 Ph: (208) 399-2072 |
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