Healthcare Provider Details

I. General information

NPI: 1801333729
Provider Name (Legal Business Name): TANIA HERBERT SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. TANIA SOTO

II. Dates (important events)

Enumeration Date: 01/30/2017
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9361 S 300 E
SANDY UT
84070-2902
US

IV. Provider business mailing address

PO BOX 30180
SALT LAKE CITY UT
84130-0180
US

V. Phone/Fax

Practice location:
  • Phone: 801-826-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number13942102-4102
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: