Organization
SALT LAKE SPEECH & LANGUAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLY L HAMULA MS CCC-SLP (PRESIDENT)
(801) 581-1307
Entity
Organization
Contact information
Practice address
1308 S 1700 E, SUITE 211, SALT LAKE CITY, UT 84108-2273
(801) 581-1307
(801) 581-1306
Mailing address
1308 S 1700 E, SUITE 211, SALT LAKE CITY, UT 84108-2273
(801) 581-1307
(801) 581-1306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
366761-4102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528479922001
—
UT
Enumeration date
05/26/2008
Last updated
05/26/2008
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