Individual
KIMBERLY MICHELLE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP; WDP
Contact information
Practice address
2327 W STEPHEN LN, RIVERTON, UT 84065-8725
(801) 759-1098
Mailing address
2327 W STEPHEN LN, RIVERTON, UT 84065-8725
(801) 759-1098
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
315975-4102
UT
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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