Doctor Name: | RUTH VELASQUEZ |
NPI Number: | 1518243674 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 77744574102 |
Business Practice Address: | 3845 W 4700 S Taylorsville, UT - 841293454 |
Business Phone Number: | 8018404360 |
Business Fax Number: | |
Mailing Address: | 4377 W Vermillion Dr, SOUTH JORDAN |
State: | UT |
Postal Code: | 840957776 |
Phone Number: | 8013103363 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2011 |
NPI Last Update Date: | 11/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 77744574102 |
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 |