Individual
AMY A BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5027
Mailing address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3404734102
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D3183
—
UT
Enumeration date
11/21/2006
Last updated
04/21/2022
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