Sue Anne Wakeland, MED CCC SLP Valid NPI
Individual provider · Speech-Language Pathologist · Pleasant Grove, UT
- NPI
- 1386841997
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- 5319199-4102 (UT)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-06-27
- Last updated
- 2007-07-08
Practice location
25 Alpine Ave
Pleasant Grove, UT 84062-3511
(801) 785-3568