Organization
AGB SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY G BONKOFSKY MS, CCC-SLP (OWNER/PRESIDENT AGB SPEECH THERAPY)
(501) 743-8497
Entity
Organization
Contact information
Practice address
471 HERITAGE PARK BLVD STE 5, LAYTON, UT 84041-5623
(501) 743-8497
(844) 854-4658
Mailing address
471 HERITAGE PARK BLVD STE 5, LAYTON, UT 84041-5623
(501) 743-8497
(844) 854-4658
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8951152-4102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396076113
NPI
—
Enumeration date
08/31/2017
Last updated
07/21/2022
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