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NPI 1992265417 · live from the CMS NPI Registry

Carie Jean Andersen

Speech-Language Pathologist, in Layton, UT. National Provider Identifier 1992265417, active.

NPI record

NPI1992265417 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location471 Heritage Park Blvd Ste 5, Layton, UT 84041
Practice phone801-217-3390
Mailing address773 W Abbey Way, Layton, UT 84041
EnumeratedMarch 21, 2019
Last updatedMarch 21, 2019
Sole proprietorNo
Other namesCarie Smith

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X10892908-4104 (UT)

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