Individual
KATHERINE JAYNE KETTLER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
670 E 3900 S, MILLCREEK, UT 84107-1973
(801) 266-3979
Mailing address
670 E 3900 S, MILLCREEK, UT 84107-1973
(801) 266-3979
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6547402-4102
UT
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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