Doctor Name: | SHANNON C MAUSZYCKI |
NPI Number: | 1346273794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 338050-4102 |
Business Practice Address: | 151-a - Aphasia Lab 500 Foothill Blvd Salt Lake City, UT - 841480001 |
Business Phone Number: | 8015821565 |
Business Fax Number: | 8015845621 |
Mailing Address: | 151-a - Aphasia Lab, 500 Foothill Blvd SALT LAKE CITY |
State: | UT |
Postal Code: | 841480001 |
Phone Number: | 8015821565 |
Fax Number: | 8015845621 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 338050-4102 |
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 |