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Individual

CASSIDY JOHN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
2545 N CANYON RD STE 110, PROVO, UT 84604-5947
(385) 450-5090
Mailing address
101 E 600 N APT G, OREM, UT 84057-4084

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14221574-4102
UT

Other

Enumeration date
08/28/2025
Last updated
08/28/2025
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