Doctor Name: | MS. CARLA O AMIS |
NPI Number: | 1285642447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | S.P. |
License Number: | 105262-4102 |
Business Practice Address: | 50 N Medical Dr Salt Lake City, UT - 841320001 |
Business Phone Number: | 8015812121 |
Business Fax Number: | |
Mailing Address: | Po Box 510721, SALT LAKE CITY |
State: | UT |
Postal Code: | 841510721 |
Phone Number: | 8015876872 |
Fax Number: | 8015876675 |
NPI Enumeration Date: | 08/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 105262-4102 |
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 |