Individual
MRS. LISA ANN INGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
556 E 300 S, AMERICAN FORK, UT 84003-3844
(801) 616-9232
Mailing address
6212 W 9740 N, HIGHLAND, UT 84003-9289
(801) 616-9232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004167
WA
Other
Enumeration date
11/28/2007
Last updated
06/15/2016
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