Doctor Name: | AMY LYN HANSEN |
NPI Number: | 1194929083 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., C.C.C., S.L.P. |
License Number: | 354684-4102 |
Business Practice Address: | 5770 Fashion Blvd Murray, UT - 841076548 |
Business Phone Number: | 8013145001 |
Business Fax Number: | |
Mailing Address: | 5770 S Fashion Blvd, MURRAY |
State: | UT |
Postal Code: | 84107 |
Phone Number: | 8013145001 |
Fax Number: | |
NPI Enumeration Date: | 06/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 354684-4102 |
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 |