| NPI | 1760156723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE-ANN CECILE BROOKS Speech Language Pathologist 801-867-3894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-08-04 |
| Last Update Date | 2021-08-04 |