NPI 1619001856 · live from the CMS NPI Registry
Jessica Amedeo-Johnson, SLP
Speech-Language Pathologist, in Salt Lake City, UT. National Provider Identifier 1619001856, active.
NPI record
| NPI | 1619001856 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 1952 Fort Union Blvd, Salt Lake City, UT 84121 |
| Practice phone | 801-942-3311 |
| Mailing address | 1952 Fort Union Blvd Ste 100, Salt Lake City, UT 84121 |
| Enumerated | March 16, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | slp4134 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.