| NPI | 1477887859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES FIDLER President/Speech Language Pathologi 801-633-3104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 74562214-0142) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |