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Individual

MRS. DELIA ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
48 W 1500 N, NEPHI, UT 84648
(435) 623-3045
(435) 623-3046
Mailing address
1402 N 100 E, DELIA'S SLP SERVICES, NEPHI, UT 84648
(435) 610-0345
(435) 623-3046

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
333106-4102
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100512220
NV
05
870574059031
UT
Enumeration date
03/30/2007
Last updated
11/25/2009
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