Wellformed AI

NPI 1992637771 · live from the CMS NPI Registry

Marie Anderson, MA, CF-SLP

Speech-Language Pathologist, in Logan, UT. National Provider Identifier 1992637771, active.

NPI record

NPI1992637771 Type 1 · individual
StatusActive
Primary specialtySpeech-Language Pathologist, 235Z00000X
Practice location1400 N 500 E, Logan, UT 84341
Practice phone435-716-6440
EnumeratedJune 3, 2026
Last updatedJune 3, 2026
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Speech-Language Pathologist, primary235Z00000X14288282-4104 (UT)

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