Individual
MRS. JUDY K GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
3855 S 700 E, WOODLAND PARK CARE CENTER, SALT LAKE CITY, UT 84106
(801) 270-2531
(801) 281-9743
Mailing address
493 EAST 5600 SOUTH, MURRAY, UT 84107-6261
(801) 262-7998
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
355200-4102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09130770
ASHA
UT
05
—
D2289
—
UT
Enumeration date
11/17/2006
Last updated
07/08/2007
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