NPI | 1053700963 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA B PLUMLEY Office Manager 801-682-3154 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 5315952-4102) |
Enumeration Date | 2015-01-15 |
Last Update Date | 2016-04-22 |