Individual
ANGELA G ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6410 OLD MAIN HL, LOGAN, UT 84322-6410
(435) 797-1346
Mailing address
6410 OLD MAIN HL, LOGAN, UT 84322-6410
(435) 797-1346
(844) 308-5865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9479977-4102
UT
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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