Doctor Name: | CHAD S BINGHAM |
NPI Number: | 1275750440 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS, CCC-SLP |
License Number: | 362744-4102 |
Business Practice Address: | 1000 Old Main Hl Logan, UT - 843221000 |
Business Phone Number: | 4357971377 |
Business Fax Number: | |
Mailing Address: | 272 S 455 E, SMITHFIELD |
State: | UT |
Postal Code: | 843351218 |
Phone Number: | 4355632794 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 10/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 362744-4102 |
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 |