Individual
RUTH VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3845 W 4700 S, TAYLORSVILLE, UT 84129-3454
(801) 840-4360
Mailing address
4377 W VERMILLION DR, SOUTH JORDAN, UT 84095-7776
(801) 310-3363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77744574102
UT
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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