Provider Demographics
NPI:1316134356
Name:SAXTON MAUGHAN, HEATHER (MA, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:SAXTON MAUGHAN
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:MRS
Other - First Name:HEATHER
Other - Middle Name:SAXTON
Other - Last Name:MCKNIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC/SLP
Mailing Address - Street 1:344 E EDGEHILL DR
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:UT
Mailing Address - Zip Code:84332
Mailing Address - Country:US
Mailing Address - Phone:435-512-8440
Mailing Address - Fax:435-787-2050
Practice Address - Street 1:344 E EDGEHILL DR
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:UT
Practice Address - Zip Code:84332
Practice Address - Country:US
Practice Address - Phone:435-512-8440
Practice Address - Fax:435-787-2050
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2007-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT350757-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist