Provider Demographics
NPI:1194280602
Name:DROMEY, ANITA (SLP)
Entity type:Individual
Prefix:
First Name:ANITA
Middle Name:
Last Name:DROMEY
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 ALBION VILLAGE WAY
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84070-4013
Mailing Address - Country:US
Mailing Address - Phone:801-619-3670
Mailing Address - Fax:801-619-3679
Practice Address - Street 1:90 ALBION VILLAGE WAY
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-4013
Practice Address - Country:US
Practice Address - Phone:801-619-3670
Practice Address - Fax:801-619-3679
Is Sole Proprietor?:No
Enumeration Date:2019-02-08
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10122860-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist