Individual
TAYLER JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
280 N MAIN ST, BOUNTIFUL, UT 84010-6136
(833) 577-3422
Mailing address
137 G ST, SALT LAKE CITY, UT 84103-2954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10850140-4102
UT
235Z00000X
Speech-Language Pathologist
14129836
UT
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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