Jill R. Andrus, M.S. CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Logan, UT
NPI 1497198592 · NPPES record last updated Apr 9, 2013
Key facts
- NPI
- 1497198592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 6652668-4102 (UT)
- Practice address
- 1000 Old Main HL
Logan, UT 84322-1000 - Phone
- (435) 797-8799
- Fax
- (435) 797-0221
- NPI assigned
- Apr 9, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6652668-4102 | UT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6652668-4102 | UT | Yes |
Addresses
Primary practice location
1000 Old Main HL
Logan, UT 84322-1000
Mailing address
970 E 80 N
Smithfield, UT 84335-2538
Phone (435) 797-8799
Other providers in Logan, UT
- Trevor Anderson
- Tyler Anderson
- Ryan B Anderton
- Conner Andrews
- Duncan Jo Andrus
- Angela K Smith DPT, LLC
- Mindy Ann Anhder
- Apria Healthcare LLC
- Amanda Arendt
- Arthur Retirement Commmunity
All providers in Logan, 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 Apr 9, 2013. 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.