Individual
JACQUELINE GUYMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6405 OLD MAIN HILL, LOGAN, UT 84322-0001
(435) 797-0576
(844) 308-5865
Mailing address
6405 OLD MAIN HILL, LOGAN, UT 84322-6405
(435) 797-0576
(844) 308-5865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5764440-4102
UT
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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