Individual
KALOMYRA COSTOPOULOS SHENK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3845 W 4700 S, TAYLORSVILLE, UT 84118-3454
(801) 840-4363
Mailing address
3845 W 4700 S, TAYLORSVILLE, UT 84118-3454
(801) 840-4363
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
107953-4102
UT
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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