NPI 1104058163

Jared Bennett, CCCSLP

Practitioner Speech-Language Pathologist South Jordan, UT

Practice location

Address: 1098 W 10550 S, South Jordan, UT 84095-8597
Phone: (801) 253-1023

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 5223035-4102 (UT)

Other Speech-Language Pathologist providers in Utah →

Registry record

NPI: 1104058163
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2009
Record last updated: 10 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.