Doctor Name: | ALLISON RAE TANNER |
NPI Number: | 1841389947 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 4982505-4102 |
Business Practice Address: | 870 E 9400 S Ste 112 Sandy, UT - 840943688 |
Business Phone Number: | 8015713081 |
Business Fax Number: | |
Mailing Address: | 100 N Medical Dr, SLC |
State: | UT |
Postal Code: | 84113 |
Phone Number: | 8015713081 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4982505-4102 |
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 |