Individual
BREANNA GABALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
742 HARRISON BLVD, OGDEN, UT 84404-5231
(801) 920-7019
Mailing address
3910 S 3375 W, WEST HAVEN, UT 84401-2096
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14242729-4104
UT
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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