Organization
HANSEN HOME SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORY LYNN HANSEN CCC, MS (SPEECH LANGUAGE PATHOLOGIST)
(661) 904-8811
Entity
Organization
Contact information
Practice address
8981 N SKYE LOOP, EAGLE MOUNTAIN, UT 84005-6224
(661) 904-8811
Mailing address
8981 N SKYE LOOP, EAGLE MOUNTAIN, UT 84005-6224
(661) 904-8811
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2019
Last updated
08/23/2019
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