NPI 1003652686 · live from the CMS NPI Registry
Shauntel Mei Li Anderson, MS
Speech-Language Pathologist, in Salt Lake City, UT. National Provider Identifier 1003652686, active.
NPI record
| NPI | 1003652686 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 85 N Medical Dr, Salt Lake City, UT 84112 |
| Practice phone | 503-765-9148 |
| Enumerated | July 3, 2024 |
| Last updated | March 4, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 13996212-4104 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.