Caitlin Sayard Benvenuti
Individual provider Active NPI Speech-Language Pathologist · North Logan, UT
NPI 1548024490 · NPPES record last updated Feb 12, 2024
Key facts
- NPI
- 1548024490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 17642 (CA)
- Practice address
- 380 E 2075 N
North Logan, UT 84341-5545 - Phone
- (917) 902-0940
- NPI assigned
- Feb 12, 2024
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17642 | CA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 17642 | CA | Yes |
Addresses
Primary practice location
380 E 2075 N
North Logan, UT 84341-5545
Mailing address
380 E 2075 N
North Logan, UT 84341-5545
Phone (917) 902-0940
Other providers in North Logan, UT
- Sandra Ballard
- Deena Balls
- Jeffrey Call Baugh
- Bear Lake Community Health Center, Inc.
- Jeffrey Green Bennion
- Bradley Pope Bills
- James Wallentine Blotter
- Andrea Ellis Bott
- Paul Tucker Bradley
- Bright Sage Psychology LLC
All providers in North 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 Feb 12, 2024. 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.