Healthcare Provider Details

I. General information

NPI: 1346178746
Provider Name (Legal Business Name): SHAW SPEECH & LANGUAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2714 S YUMA ST
SALT LAKE CITY UT
84109-1715
US

IV. Provider business mailing address

2714 S YUMA ST
SALT LAKE CITY UT
84109-1715
US

V. Phone/Fax

Practice location:
  • Phone: 801-710-6103
  • Fax:
Mailing address:
  • Phone: 801-710-6103
  • 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: HILLARY SHAW
Title or Position: MEMBER
Credential: M.S., CCC-SLP
Phone: 801-710-6103