Individual
BRANDI JEAN NEILSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7407 ESTANCIA LN, SMITHFIELD, UT 84335-4738
(435) 757-3689
Mailing address
7407 ESTANCIA LN, SMITHFIELD, UT 84335-4738
(435) 757-3689
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8583840-9937
UT
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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