NPI 1447565965 · live from the CMS NPI Registry
Susan Marie Bagley
Speech-Language Pathologist, in Layton, UT. National Provider Identifier 1447565965, active.
NPI record
| NPI | 1447565965 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2145 N 2200 E, Layton, UT 84040 |
| Practice phone | 801-628-0945 |
| Enumerated | August 9, 2010 |
| Last updated | August 9, 2010 |
| Sole proprietor | No |
| Other names | Susan Bingham |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 5379413-4102 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.