Organization Name: | SUMMIT SPEECH THERAPY |
NPI Number: | 1710344973 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY MULLINS (DIRECTOR OF THERAPY SERVICES) |
Mailing Address: | 425 Medical Dr Suite #122 Bountiful |
State: | UT US |
Postal Code: | 840104945 |
Phone Number: | 3852750492 |
Fax Number: | 3852756764 |
NPI Enumeration Date: | 01/19/2016 |
NPI Last Update Date: | 01/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |