NPI 1497198592 · live from the CMS NPI Registry
Jill R. Andrus, M.S. CCC-SLP
Speech-Language Pathologist, in Logan, UT. National Provider Identifier 1497198592, active.
NPI record
| NPI | 1497198592 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1000 Old Main Hl, Logan, UT 84322 |
| Practice phone | 435-797-8799 |
| Mailing address | 970 E 80 N, Smithfield, UT 84335 |
| Enumerated | April 9, 2013 |
| Last updated | April 9, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 6652668-4102 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.