NPI 1285642447 · live from the CMS NPI Registry
Carla O Amis, S.P.
Speech-Language Pathologist, in South Salt Lake, UT. National Provider Identifier 1285642447, active.
NPI record
| NPI | 1285642447 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2500 S State St, South Salt Lake, UT 84115 |
| Practice phone | 801-550-7926 |
| Mailing address | 2766 E 4215 S, Salt Lake City, UT 84124 |
| Enumerated | August 4, 2006 |
| Last updated | June 1, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 105262-4102 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.