Stasi Taj Brown
Individual provider Active NPI Speech-Language Assistant · South Salt Lake, UT
NPI 1841939675 · NPPES record last updated May 31, 2022
Key facts
- NPI
- 1841939675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Assistant 2355S0801X
- Practice address
- 2500 S State St
South Salt Lake, UT 84115-3164 - Phone
- (385) 646-5000
- NPI assigned
- May 31, 2022
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | Yes |
Addresses
Primary practice location
2500 S State St
South Salt Lake, UT 84115-3164
Mailing address
4479 S Enclave Vista LN
Salt Lake City, UT 84124-5100
Phone (801) 651-6282
Other providers in South Salt Lake, UT
- Sarah Bradley
- Mutsumi Bramble
- Shannon Brereton
- Jessica Lynn Brinkerhoff
- Alicia Brown
- Donald Alexander Bruey
- Emily Jean Bruton
- Kilea Sorelle Bucher
- Viviana Buck
- Nathan Buhler
All providers in South Salt Lake, UT · Speech-Language Assistant in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2022. 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.