Individual
AMY LYN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., C.C.C., S.L.P.
Contact information
Practice address
5770 FASHION BLVD, MURRAY, UT 84107-6548
(801) 314-5001
Mailing address
5770 S FASHION BLVD, MURRAY, UT 84107
(801) 314-5001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
354684-4102
UT
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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