Individual
MELANIE HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 EAST 1400 NORTH, LOGAN, UT 84341
(435) 716-2273
Mailing address
PO BOX 5, GARDEN CITY, UT 84028-0005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14334474
UT
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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