| NPI | 1235626631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIINA M SCHETSELAAR Owner/Slp 801-513-3185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: UT 5922510-4102) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: CA 22880) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |