Individual
MRS. CONNIE VISE CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
465 S 400 E STE 300, SALT LAKE CITY, UT 84111-3349
(801) 578-8599
Mailing address
429 S 800 E, SALT LAKE CITY, UT 84102-2910
(801) 578-8108
(801) 578-8111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
343113-4102
UT
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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