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NPI 1336856863 · live from the CMS NPI Registry

Amanda Jo Allen

Speech-Language Pathologist, in Ogden, UT. National Provider Identifier 1336856863, active.

NPI record

NPI1336856863 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location5320 Adams Ave Pkwy, Ogden, UT 84405
Practice phone801-476-7800
Mailing address596 E 2650 N, North Ogden, UT 84414
EnumeratedNovember 3, 2022
Last updatedNovember 3, 2022
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X—

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