Individual
AMY WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
417 S WAKARA WAY, SALT LAKE CITY, UT 84108-1436
(801) 581-3506
Mailing address
417 S WAKARA WAY, SALT LAKE CITY, UT 84108-1436
(801) 581-3506
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5316072-4104
UT
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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