Individual
KRISTEN MARIE PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5825 HARRISON BLVD, SOUTH OGDEN, UT 84403-4316
(801) 475-5254
Mailing address
1353 S 840 W, WOODS CROSS, UT 84087-2000
(307) 343-0740
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10040767-4102
UT
Other
Enumeration date
06/06/2020
Last updated
11/27/2023
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