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NPI Code Detail

MEDICARE: SHARON SPEER CCC-SLP

MEDICARE: SHARON SPEER 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 Pathologist14088616UT

Other Identifiers

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

General Provider Information

NPI Number : 1851934715
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON SPEER CCC-SLP
Provider Business Mailing Address
First Line : 598 W 900 S
Second Line :
City : WOODS CROSS
State : UT
Zip : 84010-8235
Country : US
Telephone Number : 801-693-2390
Fax Number :
Provider Business Practice Location Address
First Line : 1481 E 1450 S
Second Line :
City : CLEARFIELD
State : UT
Zip : 84015-1610
Country : US
Telephone Number : 800-574-7666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2019
Last Update Date : 10/23/2019

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Directions to “ SHARON SPEER CCC-SLP” Practice Location

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