| South Valley Speech And Language, Llc | |
|
1098 W 10550 S, South Jordan, UT 84095-8597 | |
| (801) 253-1023 | |
| (866) 426-7788 |
| Full Name | South Valley Speech And Language, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1098 W 10550 S, South Jordan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003352618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Jared Bennett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104058163 PECOS PAC ID: 8426240292 Enrollment ID: I20101012000658 |
| Mailing Address | Practice Location Address |
|---|---|
| South Valley Speech And Language, Llc 1098 W 10550 S, South Jordan, UT 84095-8597 Ph: (801) 253-1023 | South Valley Speech And Language, Llc 1098 W 10550 S, South Jordan, UT 84095-8597 Ph: (801) 253-1023 |
Stephanie Fowler, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11634 Summer Stone Dr, South Jordan, UT 84095 Phone: 801-493-9690 Fax: 801-998-8940 | |
Ms. Amie Sue Vargas, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5069 W Digory Dr, South Jordan, UT 84009 Phone: 702-343-1673 | |
Mr. Jared Bennett, CCC/SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 1098 W 10550 S, South Jordan, UT 84095 Phone: 801-253-1023 | |
Mr. David Johnson Cutler, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10588 S Redwood Rd, Suite B, South Jordan, UT 84095 Phone: 801-651-5262 | |
Juliana Anderson, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 489 W South Jordan Pkwy # 234, South Jordan, UT 84095 Phone: 801-960-2250 | |
Jessica Patton, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10619 S Jordan Gtwy Ste 205, Suite 205, South Jordan, UT 84095 Phone: 801-264-0213 |