Provider Demographics
NPI:1124259783
Name:HELLEWELL, JADEN D (MS CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:JADEN
Middle Name:D
Last Name:HELLEWELL
Suffix:
Gender:M
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:489 W 1400 N
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-7000
Mailing Address - Country:US
Mailing Address - Phone:801-426-4905
Mailing Address - Fax:801-426-4953
Practice Address - Street 1:740 N 300 E
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-4149
Practice Address - Country:US
Practice Address - Phone:801-224-0921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT311302-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist