MEDICARE: SALT LAKE SPEECH & LANGUAGE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	366761-4102	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184882292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALT LAKE SPEECH & LANGUAGE INC.

Provider Business Mailing Address
First Line	:	1308 S 1700 E
Second Line	:	SUITE 211
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-2273
Country	:	US
Telephone Number	:	801-581-1307
Fax Number	:	801-581-1306

Provider Business Practice Location Address
First Line	:	1308 S 1700 E
Second Line	:	SUITE 211
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84108-2273
Country	:	US
Telephone Number	:	801-581-1307
Fax Number	:	801-581-1306

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SHELLY L HAMULA
Credential	:	MS CCC-SLP
Telephone Number	:	801-581-1307

Provider Enumeration Date	:	05/26/2008
Last Update Date	:	05/26/2008

Similar Medicare Providers

1558457481 — ANNE EVANS-CAZIER LCSW
Practice Location Address:

1308 S 1700 E , SUITE 210
SALT LAKE CITY, UT
84108-2273

Practice Phone: 801-419-3312
Practice Fax: 801-907-7162

1073692547 — SHELLY LEE HAMULA
Practice Location Address:

1308 S 1700 E , SUITE 211
SALT LAKE CITY, UT
84108-2273

Practice Phone: 801-581-1307
Practice Fax:

1336275478 — MS. CLAIR MELLENTHIN LCSW
Practice Location Address:

1308 S 1700 E STE 210
SALT LAKE CITY, UT
84108-2273

Practice Phone: 801-949-4524
Practice Fax: 801-355-9614

1053596064 — EVANS COUNSELING, LLC
Practice Location Address:

1308 S 1700 E , STE 210
SALT LAKE CITY, UT
84108-2273

Practice Phone: 801-582-0208
Practice Fax:

1366186371 — CLAUDETTE IVANA BARRAGAN
Practice Location Address:

740 E 300 S APT 203
SALT LAKE CITY, UT
84102-2273

Practice Phone: 915-996-7652
Practice Fax:

1316731425 — ANNIE HAMILTON LCSW
Practice Location Address:

1308 S 1700 E
SLC, UT
84108-2273

Practice Phone: 385-246-2971
Practice Fax:

Directions to “SALT LAKE SPEECH & LANGUAGE INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.