Doctor Name: | WESLEY GODFREY |
NPI Number: | 1669681680 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CCC-SLP |
License Number: | 65832064102 |
Business Practice Address: | 4401 Harrison Blvd Ogden, UT - 844033195 |
Business Phone Number: | 8013872288 |
Business Fax Number: | 8013872243 |
Mailing Address: | 4401 Harrison Blvd, OGDEN |
State: | UT |
Postal Code: | 844033195 |
Phone Number: | 8013872288 |
Fax Number: | 8013872243 |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 06/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 65832064102 |
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 |