Individual
KAREN TIBBITTS FILIMOEHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
1400 N 500 E, 1ST FLOOR, LOGAN, UT 84341-2455
(435) 176-5327
Mailing address
1400 N 500 E, 1ST FLOOR, LOGAN, UT 84341-2455
(435) 176-5327
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4794822-4102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4794822-4102
DOPL
UT
Enumeration date
11/07/2016
Last updated
11/07/2016
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