Individual
MELANIE BROADBENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
440 D ST, SLC, UT 84103-2817
(801) 408-3765
Mailing address
440 D ST, SLC, UT 84103-2817
(801) 408-3765
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
325249-4102
UT
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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