NPI 1720502867 · live from the CMS NPI Registry
Melissa Dawn Anderson
Speech-Language Pathologist, in West Jordan, UT. National Provider Identifier 1720502867, active.
NPI record
| NPI | 1720502867 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 3580 W 9000 S, West Jordan, UT 84088 |
| Practice phone | 801-566-8888 |
| Mailing address | 178 E 2680 N, Provo, UT 84604 |
| Enumerated | July 31, 2017 |
| Last updated | July 31, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 10190951-4104 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.