| NPI | 1700721818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAGE MAUGHAN Speech Language Pathologist 435-890-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-04-23 |
| Last Update Date | 2026-04-23 |