Individual
COURTNEY FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 357-7448
Mailing address
885 W 760 S, LEHI, UT 84043-5659
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8072602-4102
UT
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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