Doctor Name: | MICHELLE COLES WEBSTER |
NPI Number: | 1811945637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SP |
License Number: | 112424-4102 |
Business Practice Address: | 44 N Medical Dr Slc, UT - 841131105 |
Business Phone Number: | 8015848290 |
Business Fax Number: | |
Mailing Address: | 3020 Grace St, SLC |
State: | UT |
Postal Code: | 841092128 |
Phone Number: | 8014848708 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 112424-4102 |
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 |