NPI 1811201163 · live from the CMS NPI Registry
Wendy Berrett, MS CCC-SLP
Speech-Language Pathologist, in South Jordan, UT. National Provider Identifier 1811201163, active.
NPI record
| NPI | 1811201163 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 5325 W Bingham Rim Rd, South Jordan, UT 84009 |
| Practice phone | 801-412-1034 |
| Enumerated | July 28, 2010 |
| Last updated | April 26, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | 6045613-4102 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.