| NPI | 1538510532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TERRY Speech Language Pathologist 801-815-7961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 7085508-4102) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |