Healthcare Provider Details

I. General information

NPI: 1619687696
Provider Name (Legal Business Name): ANNE HART M.S., CCC-SLP/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2022
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date: 03/24/2025
Reactivation Date: 04/10/2026

III. Provider practice location address

520 CUTLER DR
NORTH SALT LAKE UT
84054-2953
US

IV. Provider business mailing address

520 CUTLER DR
NORTH SALT LAKE UT
84054-2953
US

V. Phone/Fax

Practice location:
  • Phone: 801-936-0318
  • Fax:
Mailing address:
  • Phone: 801-936-0318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number13737680-4102
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: