Individual
ADRIENNE ROSANNE HAIDUSEK ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
55 S PROFESSIONAL WAY, PAYSON, UT 84651-5637
(801) 465-9211
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10650820-4102
UT
Other
Enumeration date
10/31/2018
Last updated
06/01/2020
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