Individual
LEANN CHLARSON REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-1000
Mailing address
1034 NORTH 500 WEST, PROVO, UT 84604
(801) 357-7448
(801) 357-7630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
111071-4102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870269232484
—
UT
Enumeration date
07/23/2006
Last updated
01/30/2019
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