Individual
JILL R. ANDRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1000 OLD MAIN HL, LOGAN, UT 84322-1000
(435) 797-8799
(435) 797-0221
Mailing address
970 E 80 N, SMITHFIELD, UT 84335-2538
(435) 797-8799
(435) 797-0221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6652668-4102
UT
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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