Wellformed AI

NPI 1043666068 · live from the CMS NPI Registry

Amy Baxter, CCC-SLP

Speech-Language Pathologist, in Provo, UT. National Provider Identifier 1043666068, active.

NPI record

NPI1043666068 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location1034 N 500 W, Provo, UT 84604
Practice phone801-357-7448
EnumeratedMay 9, 2016
Last updatedMay 9, 2016
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X8637641-4102 (UT)

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