NPI 1568636439 · live from the CMS NPI Registry
Roxann Beauregard, OT, SLP
Speech-Language Pathologist, in Bountiful, UT. National Provider Identifier 1568636439, active.
NPI record
| NPI | 1568636439 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 280 N Main St, Bountiful, UT 84010 |
| Practice phone | 801-292-8665 |
| Enumerated | April 22, 2008 |
| Last updated | April 22, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | 111555-4201 (UT) |
| Speech-Language Pathologist, primary | 235Z00000X | 111555-4102 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.