Individual
MR. ERIC DUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
964 W 2880 S, NIBLEY, UT 84321
(435) 770-6116
Mailing address
964 W 2880 S, NIBLEY, UT 84321-6479
(435) 770-6116
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10120186-4102
UT
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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