Individual
MEREDITH FORTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(833) 577-3422
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14192205-4102
UT
235Z00000X
Speech-Language Pathologist
SP-2535
NV
Other
Enumeration date
05/02/2020
Last updated
05/08/2025
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