Individual
TIMOTHY JORDAN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
640 S 80 E STE 110, LOGAN, UT 84321-7090
(435) 557-0234
Mailing address
640 S 80 E STE 110, LOGAN, UT 84321-7090
(208) 681-5827
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13944820-4102
UT
235Z00000X
Speech-Language Pathologist
SLP-5337
ID
Other
Enumeration date
03/30/2022
Last updated
06/30/2025
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