MEDICARE: SHAW SPEECH & LANGUAGE LLC

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

General Provider Information

NPI Number	:	1346178746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHAW SPEECH & LANGUAGE LLC

Provider Business Mailing Address
First Line	:	2714 S YUMA ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-1715
Country	:	US
Telephone Number	:	801-710-6103
Fax Number	:

Provider Business Practice Location Address
First Line	:	2714 S YUMA ST
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-1715
Country	:	US
Telephone Number	:	801-710-6103
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	HILLARY SHAW
Credential	:	M.S., CCC-SLP
Telephone Number	:	801-710-6103

Provider Enumeration Date	:	05/13/2026
Last Update Date	:	05/13/2026

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Directions to “SHAW SPEECH & LANGUAGE LLC ” Practice Location

Language	Start Address	Practice Location

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