Healthcare Provider Details
I. General information
NPI: 1669301545
Provider Name (Legal Business Name): ULTIMATE SPEECH & LANGUAGE THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21 E 100 N
AMERICAN FORK UT
84003-1651
US
IV. Provider business mailing address
21 E 100 N
AMERICAN FORK UT
84003-1651
US
V. Phone/Fax
- Phone: 385-376-8501
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
FAITH
BENESCH
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MS, CCC-SLP
Phone: 385-376-8501