Individual
LISA STEPHENS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP, MS, CCC
Contact information
Practice address
900 ROUND VALLEY DR, PARK CITY, UT 84060-7552
(435) 658-7000
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5952759-4102
UT
Other
Enumeration date
05/27/2011
Last updated
01/25/2022
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