Individual
JENNIFER DIETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
365 W 1550 N STE H, LAYTON, UT 84041-2279
(801) 618-7903
Mailing address
510 N CREEKSIDE CIR, KAYSVILLE, UT 84037-3141
(801) 657-7251
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14415854
UT
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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