Individual
CHRISTIAN LUKE TARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
1640 REDSTONE CENTER DR, PARK CITY, UT 84098-7605
(866) 474-6677
Mailing address
6254 WARM SPRINGS RD APT J11, COLUMBUS, GA 31909-9162
(601) 660-2934
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
12/27/2022
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