Individual
MEGAN ISRAELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
356 N 300 W APT 6, LOGAN, UT 84321-3855
(303) 829-2796
Mailing address
356 N 300 W APT 6, LOGAN, UT 84321-3855
(303) 829-2796
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10950506-4104
UT
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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