Doctor Name: | LINDSEY SHUMWAY |
NPI Number: | 1518371459 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS SLP CCC |
License Number: | 8053165-4102 |
Business Practice Address: | 3580 W 9000 S West Jordan, UT - 840888812 |
Business Phone Number: | 8015618888 |
Business Fax Number: | |
Mailing Address: | 1347 E Laird Ave, SALT LAKE CITY |
State: | UT |
Postal Code: | 841051953 |
Phone Number: | 3615228733 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2014 |
NPI Last Update Date: | 06/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8053165-4102 |
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 |