NPI 1801593520 · live from the CMS NPI Registry
Deanne Bradshaw
Speech-Language Pathologist, in Farmington, UT. National Provider Identifier 1801593520, active.
NPI record
| NPI | 1801593520 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 45 E State St, Farmington, UT 84025 |
| Practice phone | 801-402-1250 |
| Mailing address | 1368 S Park St, Salt Lake City, UT 84105 |
| Enumerated | February 13, 2023 |
| Last updated | February 13, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 12912779-4102 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.