Individual
NICOLE L AKIYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
306 W RIVER BEND LN, PROVO, UT 84604
(801) 226-8880
Mailing address
306 W RIVER BEND LN, PROVO, UT 84604
(801) 226-8880
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7315088-4102
UT
Other
Enumeration date
04/30/2009
Last updated
09/11/2014
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