Individual
FEBEE ALAN ICARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 S MAIN ST STE 1, KAYSVILLE, UT 84037-2529
(385) 888-4200
(801) 218-4040
Mailing address
202 S MAIN ST STE 1, KAYSVILLE, UT 84037-2529
(385) 888-4200
(801) 218-4040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7077364-4102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7077364-4102
UTAH DOPL
UT
Enumeration date
08/10/2018
Last updated
09/25/2024
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