NPI 1689313397 · live from the CMS NPI Registry
Ann Acosta
Speech-Language Pathologist, in South Salt Lake, UT. National Provider Identifier 1689313397, active.
NPI record
| NPI | 1689313397 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 2500 S State St, South Salt Lake, UT 84115 |
| Practice phone | 385-646-5000 |
| Mailing address | 6351 S 2200 W, Taylorsville, UT 84129 |
| Enumerated | June 1, 2022 |
| Last updated | June 1, 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.