Individual
MICHELE ALEGRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
380 E 1500 S, HEBER CITY, UT 84032-3940
(435) 654-5607
(435) 654-2602
Mailing address
380 E 1500 S, HEBER CITY, UT 84032-3940
(435) 654-5607
(435) 654-2602
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
56450924102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107041932101
IHC SELECTHEALTH
UT
01
—
87602
PEHP
UT
01
—
926805
DMBA
UT
05
—
D6188
—
UT
Enumeration date
07/31/2006
Last updated
07/09/2007
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