Aersta Kayleen Acerson, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Orem, UT
NPI 1942644877 · NPPES record last updated Apr 22, 2013
Key facts
- NPI
- 1942644877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 6334242-4102 (UT)
- Practice address
- 1094 W 420 N
Orem, UT 84057-4491 - Phone
- (801) 358-2220
- NPI assigned
- Apr 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6334242-4102 | UT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6334242-4102 | UT | Yes |
Addresses
Primary practice location
1094 W 420 N
Orem, UT 84057-4491
Mailing address
1094 W 420 N
Orem, UT 84057-4491
Phone (801) 358-2220
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All providers in Orem, 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 22, 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.