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NPI Code Detail

MEDICARE: KARLYN RISHER MS, CCC-SLP

MEDICARE: KARLYN RISHER MS, CCC-SLP
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
1235Z00000XSpeech-Language Pathologist11815148-4102UT

General Provider Information

NPI Number : 1265208003
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLYN RISHER MS, CCC-SLP
Provider Business Mailing Address
First Line : 198 W CENTER ST APT A
Second Line :
City : MIDVALE
State : UT
Zip : 84047-7349
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1212 E WILMINGTON AVE
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-2851
Country : US
Telephone Number : 801-486-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2023
Last Update Date : 12/04/2023

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Directions to “ KARLYN RISHER MS, CCC-SLP” Practice Location

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