NPIMap

Organization Active NPI

Wasatch Speech & Language Center

  • Speech-Language Pathologist
  • Holladay, UT
National Provider Identifier
1063438620
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110090-4102 Issued in UT
Legal business name
WASATCH SPEECH & LANGUAGE CENTER
Practice address
2120 E 3900 S
Suite 100
Holladay, UT 84124-1771
Phone
(801) 308-0400
Fax
(801) 308-0401
NPI assigned
Jul 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Thomas Gurrister, MS CCCNPI 1073533295
Title
Owner
Phone
(801) 308-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 110090-4102 UT Primary

Addresses

Primary practice location

2120 E 3900 S
Suite 100
Holladay, UT 84124-1771

Mailing address

PO Box 307
Bountiful, UT 84011-0307
Phone (888) 700-6907

National Provider Directory

National Provider Directory

Locations

2120 E 3900 S
Ste 100
Salt Lake City, UT 84124
Phone (801) 308-0400

2120 E 3900 S
Ste 200
Salt Lake City, UT 84124
Phone (801) 308-0400

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063438620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110307",
            "telephone_number": "888-700-6907",
            "fax_number": "801-294-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E 3900 S",
            "address_2": "SUITE 100",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841241771",
            "telephone_number": "801-308-0400",
            "fax_number": "801-308-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASATCH SPEECH & LANGUAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GURRISTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-308-0400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "110090-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.