NPI 1083245690 · live from the CMS NPI Registry
Jaime Alden Booz
Speech-Language Pathologist, in Midvale, UT. National Provider Identifier 1083245690, active.
NPI record
| NPI | 1083245690 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1012 W Jordan River Blvd, Midvale, UT 84047 |
| Practice phone | 801-647-5691 |
| Mailing address | 655 E 3065 S, South Salt Lake, UT 84106 |
| Enumerated | February 1, 2020 |
| Last updated | August 16, 2023 |
| Sole proprietor | No |
| Other names | Jaime Booz |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 10231059-4102 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.