Individual
JALIZABETH HAMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1574 E 1300 N, RICHFIELD, UT 84701-9758
(435) 201-1762
Mailing address
1574 E 1300 N, RICHFIELD, UT 84701-9758
(435) 201-1762
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
437077
STATE OF UTAH PROFESSIONAL EDUCATORS LICENSE
UT
Enumeration date
02/28/2023
Last updated
02/28/2023
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