Individual
ELIZABETH A HAFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP-CCC
Contact information
Practice address
4401 HARRISON BLVD, OGDEN, UT 84403-3195
(801) 387-2800
Mailing address
3455 S LINDEN WAY, SYRACUSE, UT 84075-9861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10425887-4102
UT
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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