Carie Jean Andersen
Individual provider Active NPI Speech-Language Pathologist · Layton, UT
NPI 1992265417 · NPPES record last updated Mar 21, 2019
Key facts
- NPI
- 1992265417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 10892908-4104 (UT)
- Practice address
- 471 Heritage Park Blvd Ste 5
Layton, UT 84041-5623 - Phone
- (801) 217-3390
- NPI assigned
- Mar 21, 2019
- 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 |
|---|---|---|---|
| 10892908-4104 | UT | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 10892908-4104 | UT | Yes |
Addresses
Primary practice location
471 Heritage Park Blvd Ste 5
Layton, UT 84041-5623
Mailing address
773 W Abbey Way
Layton, UT 84041-3865
Phone (801) 645-8425
Other names
- Carie Jean Smith
Other providers in Layton, UT
- Grace Amidan
- Brent R Amil
- Laura Andelin
- Adrianne Andersen
- Camie Andersen
- Shelby Andersen
- Alyssa Anderson
- Becky L Anderson
- Daniel Anderson
- Dylan Anderson
All providers in Layton, 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 Mar 21, 2019. 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.