Individual
RILEY SAMANTHA SEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 MEDICAL DR STE D101, BOUNTIFUL, UT 84010-8905
(385) 275-0492
Mailing address
415 MEDICAL DR STE D101, BOUNTIFUL, UT 84010-8905
(385) 275-0492
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12877357-4102
UT
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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