MEDICARE: MS. EUNICE KATHERINE VALVERDE

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	13719368-4102	UT

General Provider Information

NPI Number	:	1366302754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EUNICE KATHERINE VALVERDE

Provider Business Mailing Address
First Line	:	5306 S COBBLE CREEK RD
Second Line	:	APT 15J
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117
Country	:	US
Telephone Number	:	562-881-2353
Fax Number	:

Provider Business Practice Location Address
First Line	:	5306 S COBBLE CREEK RD
Second Line	:	APT 15J
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84117
Country	:	US
Telephone Number	:	562-881-2353
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/17/2025

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