Individual
HEATHER LINDA GOURLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2885
(801) 585-6234
Mailing address
50 N MEDICAL DR, SOM1R73, SALT LAKE CITY, UT 84132-0001
(801) 581-2885
(801) 585-6234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7770080-4104
UT
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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