NPI 1518636331 · live from the CMS NPI Registry
Blacksmith Pediatric Speech Therapy, LLC
Speech-Language Pathologist, in Salt Lake City, UT. National Provider Identifier 1518636331, active.
NPI record
| NPI | 1518636331 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1325 E Browning Ave, Salt Lake City, UT 84105 |
| Practice phone | 480-204-1353 |
| Enumerated | September 7, 2021 |
| Last updated | September 7, 2021 |
| Authorized official | Megan Black-Smith, Speech Language Pathologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.