Individual
ALLISON RAE TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
870 E 9400 S STE 112, SANDY, UT 84094-3688
(801) 571-3081
Mailing address
100 N MEDICAL DR, SLC, UT 84113
(801) 571-3081
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4982505-4102
UT
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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