Wellformed AI

NPI 1922564897 · live from the CMS NPI Registry

Angela G Anderson, CCC-SLP

Speech-Language Pathologist, in Logan, UT. National Provider Identifier 1922564897, active.

NPI record

NPI1922564897 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location6410 Old Main Hl, Logan, UT 84322
Practice phone435-797-1346
EnumeratedFebruary 15, 2019
Last updatedFebruary 15, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X9479977-4102 (UT)

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