Marie Anderson, MA, CF-SLP

Individual provider Active NPI Speech-Language Pathologist · Logan, UT

NPI 1992637771 · NPPES record last updated Jun 3, 2026

Key facts

NPI
1992637771
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
14288282-4104 (UT)
Practice address
1400 N 500 E
Logan, UT 84341-2455
Phone
(435) 716-6440
Fax
(435) 716-6441
NPI assigned
Jun 3, 2026
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
14288282-4104UTMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 14288282-4104 UT Yes

Addresses

Primary practice location

1400 N 500 E
Logan, UT 84341-2455

Mailing address

1400 N 500 E
Logan, UT 84341-2455
Phone (435) 716-6440

Other providers in Logan, UT

All providers in Logan, UT · Speech-Language Pathologist in Utah

Sources for this page

Verify at the official NPI Registry.