Salt Lake Speech & Language Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

366761-4102 Issued in UT

Legal business name

SALT LAKE SPEECH & LANGUAGE INC.

Practice address

1308 S 1700 E
Suite 211
Salt Lake City, UT 84108-2273

Phone

(801) 581-1307

Fax

(801) 581-1306

NPI assigned

May 26, 2008

Organization subpart

No

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

Authorized official

Name

Shelly L Hamula, MS CCC-SLPNPI 1073692547

Title

President

Phone

(801) 581-1307

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelly Lee Hamula

  • Speech-Language Pathologist
  • Salt Lake City, UT
  • NPI 1073692547
  NPD (past) Authorized official

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

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211760000000",
    "number": "1184882292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 S 1700 E",
            "address_2": "SUITE 211",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082273",
            "telephone_number": "801-581-1307",
            "fax_number": "801-581-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 S 1700 E",
            "address_2": "SUITE 211",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082273",
            "telephone_number": "801-581-1307",
            "fax_number": "801-581-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT LAKE SPEECH & LANGUAGE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-26",
        "last_updated": "2008-05-26",
        "status": "A",
        "authorized_official_last_name": "HAMULA",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-581-1307",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "366761-4102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528479922001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Salt Lake City, UT
• Providers in Salt Lake City, 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 26, 2008; 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.