Individual
MOLLY WALKER MOOSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1825 GARFIELD AVE, SALT LAKE CITY, UT 84108-2948
(925) 209-1696
Mailing address
125 S 1300 E APT 4, SALT LAKE CITY, UT 84102-1741
(925) 209-1696
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7016015-4102
UT
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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