NPI 1669111522 · live from the CMS NPI Registry
Lori Banta, M.S., CCC-SLP
Speech-Language Pathologist, in Ogden, UT. National Provider Identifier 1669111522, active.
NPI record
| NPI | 1669111522 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 5320 Adams Ave Pkwy, Ogden, UT 84405 |
| Practice phone | 801-476-7800 |
| Enumerated | May 31, 2022 |
| Last updated | May 31, 2022 |
| Sole proprietor | No |
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.