Individual
STEPHANIE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
11634 SUMMER STONE DR, SOUTH JORDAN, UT 84095-8091
(801) 493-9690
(801) 998-8940
Mailing address
11634 SUMMER STONE DR, SOUTH JORDAN, UT 84095-8091
(801) 493-9690
(801) 998-8940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8268358-4102
UT
Other
Enumeration date
01/27/2009
Last updated
08/14/2012
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