Individual
JANNA STOUTENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1570 N MAIN ST, SPANISH FORK, UT 84660-1006
(801) 210-9319
(801) 210-2090
Mailing address
1570 N MAIN ST, SPANISH FORK, UT 84660-1006
(801) 210-9319
(801) 210-2090
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12898564-4102
UT
Other
Enumeration date
06/20/2022
Last updated
12/12/2023
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