Individual
KYLE HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
2250 N MILLER CAMPUS DR, LEHI, UT 84043-7233
(833) 577-3422
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12464383-4102
UT
235Z00000X
Speech-Language Pathologist
SL014669
PA
Other
Enumeration date
09/08/2021
Last updated
03/21/2024
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