Individual
MS. TRISTAN NEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5821 WILLOW WOOD LN, SOUTH OGDEN, UT 84403-5260
(801) 675-0164
Mailing address
5821 WILLOW WOOD LN, SOUTH OGDEN, UT 84403-5260
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6291327-4102
UT
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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