Individual
NICOLE ROSE MCDOUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CF
Contact information
Practice address
527 400 N, STE 2, OREM, UT 84057
(801) 714-3505
Mailing address
2352 W OLD ROSEBUD LN, SOUTH JORDAN, UT 84095-8350
(507) 259-4878
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11540917-4102
UT
Other
Enumeration date
11/25/2019
Last updated
02/19/2021
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