Individual
MARY REBEKAH FORBES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
415 MEDICAL DR STE B102, BOUNTIFUL, UT 84010-4989
(385) 351-9660
Mailing address
2173 S 1150 E, BOUNTIFUL, UT 84010-2346
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11680869-4102
UT
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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