Anderson, Kerstin M

Anderson, Kerstin M is an individual health care provider with primary practice located at 1034 N 500 W , Provo UT 84604-3380. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Anderson, Kerstin M can be contacted via phone (801) 373-7850.

Contact Information

Primary practice address
1034 N 500 W Provo UT 84604-3380
Phone: (801) 373-7850
Fax: (801) 357-7997
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 55646794101 Utah
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 5564679-4101 Utah

Profile Details

NPI number 1730102542
LBN Legal business name Anderson, Kerstin M
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jun 28th, 2022 - about 2 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 1730102542 NPPES
Utah Other 55646794101 UTAH STATE LICENSE

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