Individual
JENNY ANN PEDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A
Contact information
Practice address
44 N. MARIO CAPECCHI DR., SALT LAKE CITY, UT 84114
(801) 584-8215
(801) 584-8492
Mailing address
PO BOX 142001, SALT LAKE CITY, UT 84114-2001
(801) 538-9103
(801) 538-6591
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
6968867-4101
UT
Other
Enumeration date
05/20/2008
Last updated
12/19/2012
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