Organization Name: | SALT LAKE SPEECH & LANGUAGE INC. |
NPI Number: | 1184882292 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHELLY L HAMULA (PRESIDENT) |
Mailing Address: | 1308 S 1700 E Suite 211 Salt Lake City |
State: | UT US |
Postal Code: | 841082273 |
Phone Number: | 8015811307 |
Fax Number: | 8015811306 |
NPI Enumeration Date: | 05/26/2008 |
NPI Last Update Date: | 05/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 366761-4102 |
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 |