Individual
MELODIE LARSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
575 N 100 E, AMERICAN FORK, UT 84003-1758
(801) 518-8101
Mailing address
179 E BLISS DR, SARATOGA SPRINGS, UT 84045-4527
(801) 518-8101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
437369
UT
235Z00000X
Speech-Language Pathologist
Primary
6723993-4102
UT
Other
Enumeration date
08/12/2022
Last updated
08/19/2024
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