Wellformed AI

NPI 1003684515 · live from the CMS NPI Registry

Marian Sharlene Anderson

Speech-Language Pathologist, in North Salt Lake, UT. National Provider Identifier 1003684515, active.

NPI record

NPI1003684515 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location641 Vista View Ct, North Salt Lake, UT 84054
Practice phone703-473-1404
EnumeratedDecember 13, 2023
Last updatedMay 14, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X13735145-4102 (UT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.