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General NPI Number Information
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NPI Number | 1841141041
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Entity Type | Organization
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Legal Business Name | DESERT SPEECH & FEEDING CLINIC LLC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 6300 SAGEWOOD DR STE 426
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City | PARK CITY
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State | UT
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Zip | 84098-7502
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Country | US
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Telephone | 702-447-5453
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Fax |
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Provider Business Mailing Address
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Address Line | 30 N GOULD ST STE R
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City | SHERIDAN
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State | WY
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Zip | 82801-6317
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Country | US
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Telephone | 702-447-5453
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR (CONTRACT)
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Name | EMILY HARRIS
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Credential | CCC-SLP
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Telephone | 702-447-5453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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