Individual
BROOKE ELISE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6410 OLD MAIN HL, LOGAN, UT 84322-6410
(435) 797-1375
Mailing address
6410 OLD MAIN HL, LOGAN, UT 84322-6410
(435) 797-1375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9187561-4102
UT
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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