Individual
MR. THOMAS JAMES CALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC SLP
Contact information
Practice address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
(801) 456-8409
Mailing address
3086 E SILVER LAKE DR, COTTONWOOD HEIGHTS, UT 84121-5339
(801) 707-4222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5529104-4102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D5896
—
UT
Enumeration date
12/13/2006
Last updated
07/21/2022
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