Doctor Name: | JILL HODGSON |
NPI Number: | 1114356185 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 8340922-4104 |
Business Practice Address: | 3300 Running Creek Way Building B, Suite 150 Lehi, UT - 840435563 |
Business Phone Number: | 8017664244 |
Business Fax Number: | 8017664245 |
Mailing Address: | 3300 Running Creek Way, Building B, Suite 150 LEHI |
State: | UT |
Postal Code: | 840435563 |
Phone Number: | 8017664244 |
Fax Number: | 8017664245 |
NPI Enumeration Date: | 11/10/2013 |
NPI Last Update Date: | 11/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8340922-4104 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |