| NPI | 1598399891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA PICKETT Speech Language Pathologist 435-764-7461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-02-25 |