Provider Demographics
NPI:1316971450
Name:PATTERSON, RICK ALLAN (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:RICK
Middle Name:ALLAN
Last Name:PATTERSON
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 1:931 CATTAIL DR
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-8583
Mailing Address - Country:US
Mailing Address - Phone:801-501-0480
Mailing Address - Fax:801-501-0480
Practice Address - Street 1:598 W 900 S
Practice Address - Street 2:
Practice Address - City:WOODS CROSS
Practice Address - State:UT
Practice Address - Zip Code:84010-8235
Practice Address - Country:US
Practice Address - Phone:801-597-7484
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT340032-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist