Paul S Macfarlane, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3653244102 Issued in UT

Practice address

2500 S State St
South Salt Lake, UT 84115-3164

Phone

(385) 646-5000

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1013074764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3996 S REDHAWK RD",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841194772",
            "telephone_number": "801-750-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S STATE ST",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841153164",
            "telephone_number": "385-646-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1952 East 7000 S",
            "address_2": "#100",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "84121",
            "country_code": "US",
            "telephone_number": "801-942-3311 x104",
            "fax_number": "801-943-3989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACFARLANE",
        "first_name": "PAUL",
        "middle_name": "S",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "3653244102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "870574059031",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Lucero, CPSS
• Shannon Luckart
• Rebecca Lamb Lund, MS, CCC-SLP
• Shaylyn Lyksett
• Cori Maack
• Wendy L B Macfarlane, MS, CCC-SLP
• Anna I Mair, C-PA
• Tonya Segura Makoff
• Denell Mangone, LCSW
• Marathon Health LLC

• Speech-Language Pathologist in South Salt Lake, UT
• Providers in South Salt Lake, UT by specialty
• Speech-Language Pathologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.