Doctor Name: | AMY C. KRANTZ |
NPI Number: | 1730480054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 6729509-4102 |
Business Practice Address: | 3845 W 4700 S Primary Children's Rehab Taylorsville Taylorsville, UT - 841183454 |
Business Phone Number: | 8018404360 |
Business Fax Number: | |
Mailing Address: | 881 Maple View Dr, Apt. # 10 SALT LAKE CITY |
State: | UT |
Postal Code: | 841061922 |
Phone Number: | 8017121498 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2010 |
NPI Last Update Date: | 11/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6729509-4102 |
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 |