NPI 1073789863 · live from the CMS NPI Registry
Sandra L Bauman
Speech-Language Pathologist, in Salt Lake City, UT. National Provider Identifier 1073789863, active.
NPI record
| NPI | 1073789863 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1952 E 7000 S Ste 100, Salt Lake City, UT 84121 |
| Practice phone | 801-942-3311 |
| Mailing address | Po Box 711185, Salt Lake City, UT 84171 |
| Enumerated | May 1, 2008 |
| Last updated | May 1, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | SP-914 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.