NPI 1407149123 · live from the CMS NPI Registry
Lisa Stephens Anderson, SLP, MS, CCC
Speech-Language Pathologist, in Park City, UT. National Provider Identifier 1407149123, active.
NPI record
| NPI | 1407149123 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 900 Round Valley Dr, Park City, UT 84060 |
| Practice phone | 435-658-7000 |
| Mailing address | Po Box 30180, Salt Lake City, UT 84130 |
| Enumerated | May 27, 2011 |
| Last updated | January 25, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 5952759-4102 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.