NPI 1891360970 · live from the CMS NPI Registry
Mendocino Nicole Peacock Adzagah, MS
Speech-Language Pathologist, in Murray, UT. National Provider Identifier 1891360970, active.
NPI record
| NPI | 1891360970 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 5770 S Fashion Boulevard, Building 5 Suite 210, Murray, UT 84107 |
| Practice phone | 833-577-3422 |
| Mailing address | 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 |
| Enumerated | May 21, 2021 |
| Last updated | October 18, 2022 |
| Sole proprietor | No |
| Other names | Mendy Adzagah |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | CF7205 (NM) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.