Juliana Anderson, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · South Jordan, UT
NPI 1154021228 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1154021228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 123373004102 (UT)
- Practice address
- 489 W South Jordan Pkwy # 234
South Jordan, UT 84095-3979 - Phone
- (801) 960-2250
- NPI assigned
- Mar 7, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123373004102 | UT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Premier Speech Therapy, LLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 123373004102 | UT | Yes |
Addresses
Primary practice location
489 W South Jordan Pkwy # 234
South Jordan, UT 84095-3979
Mailing address
489 W South Jordan Pkwy # 234
South Jordan, UT 84095-3979
Other providers in South Jordan, UT
- Alta Ridge South Jordan
- David Lynn Alvord
- America'S Best Contasts & Eyeglasses
- J Brinton Andersen
- Douglas M Anderson
- Kaitlyn Fay Anderson
- Lacey Anderson
- Susannah Anderson
- Virginia Carolyn Williams Anderson
- Barett D Andreasen
All providers in South Jordan, UT · Speech-Language Pathologist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.