NPI 1417499666 · live from the CMS NPI Registry
Jenna Aubuchon, MS
Speech-Language Pathologist, in Salt Lake City, UT. National Provider Identifier 1417499666, active.
NPI record
| NPI | 1417499666 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 100 Mario Capecchi Drive, Salt Lake City, UT 84132 |
| Practice phone | 801-662-1000 |
| Mailing address | 8685 S Russell Park Rd, Cottonwood Heights, UT 84121 |
| Enumerated | November 4, 2016 |
| Last updated | November 4, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 98958244102 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.