Individual
ELIZABETH RULU JOSEPHSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 556-3346
Mailing address
1034 N 500 W, PROVO, UT 84604-3337
(801) 556-3346
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14358570
UT
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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