Provider Demographics
NPI:1063217230
Name:TOLMAN, SARAH BETH PATIENCE
Entity type:Individual
Prefix:
First Name:SARAH BETH
Middle Name:PATIENCE
Last Name:TOLMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SARAH BETH
Other - Middle Name:PATIENCE
Other - Last Name:GARMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1234 W SOUTH JORDAN PKWY STE B2
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-4649
Mailing Address - Country:US
Mailing Address - Phone:801-821-4501
Mailing Address - Fax:
Practice Address - Street 1:1234 W SOUTH JORDAN PKWY STE B2
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-4649
Practice Address - Country:US
Practice Address - Phone:801-821-4501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14199518-3503101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health