Individual
KIERA NOELLE BERGGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1138 WILMINGTON AVE, SALT LAKE CITY, UT 84106-2819
(801) 581-2221
(801) 581-2043
Mailing address
1138 WILMINGTON AVE, SALT LAKE CITY, UT 84106-2819
(801) 581-2221
(801) 581-2043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7376917-4102
UT
Other
Enumeration date
07/02/2009
Last updated
07/02/2009
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