| Doctor Name: | CAROL PAULSON MOODY |
| NPI Number: | 1215170337 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | 2145454102 |
| Business Practice Address: | 361 E 1200 S Suite 201 Orem, UT - 840586904 |
| Business Phone Number: | 8012243014 |
| Business Fax Number: | 8012244914 |
| Mailing Address: | 361 E 1200 S, Suite 201 OREM |
| State: | UT |
| Postal Code: | 840586904 |
| Phone Number: | 8012243014 |
| Fax Number: | 8012244914 |
| NPI Enumeration Date: | 04/20/2009 |
| NPI Last Update Date: | 04/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2145454102 |
| 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 |