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NPI 1760031868 · live from the CMS NPI Registry

Andrea Chi-Ling Bae, CCC-SLP

Speech-Language Pathologist, in West Valley City, UT. National Provider Identifier 1760031868, active.

NPI record

NPI1760031868 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location3845 W 4700 S, West Valley City, UT 84129
Practice phone801-840-4360
Mailing addressPo Box 30180, Salt Lake City, UT 84130
EnumeratedSeptember 10, 2019
Last updatedApril 13, 2026
Sole proprietorNo
Other namesAndrea Chang

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.