Individual
AUDREY LYNN HIVNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1300 N 500 E, LOGAN, UT 84341-2408
(435) 716-5010
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6967542-4102
UT
Other
Enumeration date
06/05/2008
Last updated
11/21/2023
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