Individual
MARK MICHAEL DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
2287 E HIGH MOUNTAIN DR, SANDY, UT 84092-5506
(801) 706-0459
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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