Individual
MS. CARLA SEAMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2380 N 400 E STE D, NORTH LOGAN, UT 84341-1756
(435) 753-7880
(435) 753-5845
Mailing address
2380 N 400 E STE D, NORTH LOGAN, UT 84341-1756
(435) 753-7880
(435) 753-5845
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
111339-4101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01070999
AMER. SPEECH/ HEARING AS.
UT
01
—
111339-4101
STATE LICENSE
UT
Enumeration date
04/17/2008
Last updated
04/17/2008
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