Dilworth, Valisa Gwynne

Dilworth, Valisa Gwynne is an individual health care provider with primary practice located at 1952 East 7000 S #100, Salt Lake City UT 84121. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dilworth, Valisa Gwynne can be contacted via phone (801) 942-3311.

Contact Information

Primary practice address
1952 East 7000 S #100 Salt Lake City UT 84121
Phone: (801) 942-3311
Fax: (801) 943-3989
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 58305204102 Utah

Profile Details

NPI number 1952499725
LBN Legal business name Dilworth, Valisa Gwynne
Credentials MS CCSLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952499725 NPPES
Utah MEDICAID D5972

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