Doctor Name: | ANN DORAIS |
NPI Number: | 1467694166 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. CCC-SLP |
License Number: | 7275543-4102 |
Business Practice Address: | 635 Dalton Dr Pleasant Grove, UT - 840622060 |
Business Phone Number: | 8017967518 |
Business Fax Number: | |
Mailing Address: | 361 E 1200 S, OREM |
State: | UT |
Postal Code: | 840586904 |
Phone Number: | 8012243014 |
Fax Number: | 8012244914 |
NPI Enumeration Date: | 03/27/2009 |
NPI Last Update Date: | 03/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7275543-4102 |
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 |