Individual
TEEMARIE JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D, CCC-A
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-7514
Mailing address
PO BOX 413035, SALT LAKE CITY, UT 84141-3035
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6727096-4101
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00446823
RAILROAD MEDICARE
UT
Enumeration date
06/17/2006
Last updated
10/29/2021
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