Individual
MICHELLE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3903 HARRISON BLVD, OGDEN, UT 84403-2314
(509) 750-3860
Mailing address
3903 HARRISON BLVD, OGDEN, UT 84403-2314
(509) 750-3860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9813354-4102
UT
Other
Enumeration date
06/24/2016
Last updated
06/24/2016
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