Individual
MEGAN SHUPE PESSOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CCC
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
PO BOX 510721, SALT LAKE CITY, UT 84151-0721
(801) 587-6872
(801) 587-6675
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7425951-4102
UT
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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