Individual
SUZANNE GORDON MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
9720 S 1300 E STE W130, SANDY, UT 84094-3776
(801) 501-2600
Mailing address
12034 S CORTINA CREST DR, DRAPER, UT 84020-6106
(801) 680-1561
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
293568-4102
UT
Other
Enumeration date
08/07/2018
Last updated
11/23/2021
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