Organization
TIMPANOGOS SPEECH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WILLIAM STRATTON (OFFICE MANAGER)
(801) 949-1476
Entity
Organization
Contact information
Practice address
5278 W 10740 N, HIGHLAND, UT 84003-8899
(801) 889-7751
(176) 332-2274
Mailing address
5278 W 10740 N, HIGHLAND, UT 84003-8899
(801) 889-7751
(176) 332-2274
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8011692-4102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962860718
NPPES
UT
Enumeration date
04/22/2016
Last updated
04/22/2016
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