Provider Demographics
NPI:1104115179
Name:SOUTHERN UTAH SPEECH THERAPY INC.
Entity type:Organization
Organization Name:SOUTHERN UTAH SPEECH THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:NEUENSCHWANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:435-559-8970
Mailing Address - Street 1:166 W 1325 N
Mailing Address - Street 2:STE 100
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84721-7792
Mailing Address - Country:US
Mailing Address - Phone:435-559-8970
Mailing Address - Fax:435-867-1243
Practice Address - Street 1:166 W 1325 N
Practice Address - Street 2:STE 100
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-7792
Practice Address - Country:US
Practice Address - Phone:435-559-8970
Practice Address - Fax:435-867-1243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT316163-4102261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech