Active NPI
Wendy Louise Wolfe, MS SLP CCC
- Speech-Language Pathologist
- North Salt Lake City, UT
National Provider Identifier
1447368634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3574224102
- Practice address
- 774 East Independence Way
North Salt Lake City, UT 84054 - Phone
- (801) 918-0203
- NPI assigned
- Aug 28, 2006
- Last updated
- May 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3574224102 | UT | Primary |
Addresses
Primary practice location
774 East Independence Way
North Salt Lake City, UT 84054
Mailing address
774 East Independence Way
North Salt Lake City, UT 84054
Phone (801) 918-0203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3574224102 | UT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1447368634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 EAST INDEPENDENCE WAY",
"city": "NORTH SALT LAKE CITY",
"state": "UT",
"postal_code": "84054",
"telephone_number": "801-918-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 EAST INDEPENDENCE WAY",
"city": "NORTH SALT LAKE CITY",
"state": "UT",
"postal_code": "84054",
"telephone_number": "801-918-0203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "WENDY",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "MS SLP CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "3574224102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.