Individual
MRS. NISHA HYCIE MENDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
3136 S VIVIAN ST, MAGNA, UT 84044-1760
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12083511
—
235Z00000X
Speech-Language Pathologist
Primary
60283984102
UT
235Z00000X
Speech-Language Pathologist
LL00003777
WA
Other
Enumeration date
04/05/2006
Last updated
05/06/2022
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