Individual
SHELBY GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
5379 W EVENING SIDE DR, HERRIMAN, UT 84096-3414
(801) 815-7379
Mailing address
5379 W EVENING SIDE DR, HERRIMAN, UT 84096-3414
(801) 815-7379
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12234259-4102
UT
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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