| Speech, Language Hearing Clinic | |
|
417 Wakara Way, #1112, Salt Lake City, UT 84108-1448 | |
| (801) 581-3506 | |
| Not Available |
| Full Name | Speech, Language Hearing Clinic |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 417 Wakara Way, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245338920 | NPI | - | NPPES |
| 121638400 | Other | WY | WYOMING MEDICAID |
| 876000525138 | Medicaid | UT | |
| 801209200 | Other | ID | IDAH MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Anne M Lobdell |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1669629721 PECOS PAC ID: 9537237292 Enrollment ID: I20081007000870 |
| Provider Name | Pamela Anne Mathy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104992460 PECOS PAC ID: 8820383821 Enrollment ID: I20160829002680 |
| Provider Name | Laurie Don Fue |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780939025 PECOS PAC ID: 2769778695 Enrollment ID: I20160901000918 |
| Provider Name | Kimberly Hales |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033535851 PECOS PAC ID: 6002102134 Enrollment ID: I20160915001165 |
| Mailing Address | Practice Location Address |
|---|---|
| Speech, Language Hearing Clinic 417 Wakara Way, #1112, Salt Lake City, UT 84108-1448 Ph: (801) 581-3506 | Speech, Language Hearing Clinic 417 Wakara Way, #1112, Salt Lake City, UT 84108-1448 Ph: (801) 581-3506 |
Colleen M St Amand, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S Ste 100, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955 | |
Kenton W Layden, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S Ste 100, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955 | |
Mrs. Cheri Danielle Blades, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Drive Som 1r73, Salt Lake City, UT 84132 Phone: 801-581-2885 | |
Katelyn Suzanne Thatcher, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Roxann B Hunt, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-584-8215 | |
Elizabeth Caldwell Hill, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 833-577-3422 | |
Mrs. Laura Lee Barnett, M.C.S.D./CCC Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: Fairfax Road At Virginia Street, Salt Lake City, UT 84103 Phone: 801-536-3610 |