Individual
MRS. AMY BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7448
Mailing address
1034 N 500 W, PROVO, UT 84604-3380
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8637641-4102
UT
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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