Healthcare Provider Details

I. General information

NPI: 1508799701
Provider Name (Legal Business Name): BRYNNLY COLLETT PETERLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4625 S 2300 E STE 206
HOLLADAY UT
84117-4582
US

IV. Provider business mailing address

3046 E 2965 S
MILLCREEK UT
84109-2135
US

V. Phone/Fax

Practice location:
  • Phone: 801-214-5991
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: