Individual
JENNI RADFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
607 E 460 S, SMITHFIELD, UT 84335-9528
(435) 535-1466
Mailing address
607 E 460 S, SMITHFIELD, UT 84335-9528
(435) 535-1466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
24548
CA
235Z00000X
Speech-Language Pathologist
Primary
5859734-4102
UT
Other
Enumeration date
08/17/2016
Last updated
08/08/2023
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