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NPI 1134648736ActiveIndividual· Speech-Language Pathologist· Ogden, UT

Speech-Language Pathologist in Ogden, Utah, licensed in UT, with an NPI issued in September 2017. Enrolled in Medicare as practitioner - qualified speech language pathologist.

Overview

NPI1134648736
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedSep 14, 2017
Last updated in NPPESNov 17, 2025
Certified by providerNov 17, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X10113324-4102UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Qualified Speech Language Pathologist (UT)

Medicare sources and data years

Education and affiliations

Graduation year2015
Medicare specialtyQualified Speech Language Pathologist

Source: CMS Care Compare

Other Speech-Language Pathologist providers in Ogden

All Speech-Language Pathologist providers in Utah →