Individual
KIERSTIN SANDBERG ELIASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
70 E 100 N, FARMINGTON, UT 84025-3531
(801) 402-1309
Mailing address
145 W 1600 N, CENTERVILLE, UT 84014-1158
(018) 557-5067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
491731-4102
UT
235Z00000X
Speech-Language Pathologist
4917310-4102
UT
Other
Enumeration date
03/22/2007
Last updated
01/18/2023
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