Healthcare Provider Details

I. General information

NPI: 1306772553
Provider Name (Legal Business Name): CLEAR SKY SPEECH THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1526 UTE BLVD STE 110A
PARK CITY UT
84098-7575
US

IV. Provider business mailing address

1526 UTE BLVD STE 110A
PARK CITY UT
84098-7575
US

V. Phone/Fax

Practice location:
  • Phone: 435-248-2135
  • 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: MEGAN L WILLIAMSON
Title or Position: OWNER / SOLE MEMBER
Credential: CCC-SLP
Phone: 435-248-2135