Individual
AMY GEORGIADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
4886 W JUNIPER BEND DR, HERRIMAN, UT 84096-1454
(303) 941-0179
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16160
CA
Other
Enumeration date
02/20/2015
Last updated
05/17/2022
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