Organization
BLACKSMITH PEDIATRIC SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MEGAN BLACK-SMITH M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(480) 204-1353
Entity
Organization
Contact information
Practice address
1325 E BROWNING AVE, SALT LAKE CITY, UT 84105-2601
(480) 204-1353
(385) 202-3312
Mailing address
1325 E BROWNING AVE, SALT LAKE CITY, UT 84105-2601
(480) 204-1353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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