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NPI 1730051863ActiveIndividual· Speech-Language Pathologist· Park City, UT

Speech-Language Pathologist in Park City, Utah, licensed in UT, with an NPI issued in September 2025.

Overview

NPI1730051863
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedSep 18, 2025
Last updated in NPPESSep 18, 2025
Certified by providerSep 18, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X10256936-4102UT

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)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Speech-Language Pathologist providers in Park City

All Speech-Language Pathologist providers in Utah →