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6410 Old Main Hl, Logan, UT 84322-6410 | |
| (435) 797-1346 | |
| (844) 308-5865 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 6410 Old Main Hl, Logan, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235374984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| Provider Name | Cache Laurence Pitt |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871509356 PECOS PAC ID: 3678817947 Enrollment ID: I20181128001162 |
| Provider Name | Jamie Mecham |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992107312 PECOS PAC ID: 5294071783 Enrollment ID: I20190103001712 |
| Provider Name | Kendra Lee Schofield |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932625985 PECOS PAC ID: 9830435395 Enrollment ID: I20190104001172 |
| Provider Name | Emilee Packer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982035473 PECOS PAC ID: 4082844105 Enrollment ID: I20190104001847 |
| Provider Name | Kali Leanne Markle |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841743515 PECOS PAC ID: 3870871825 Enrollment ID: I20190108001289 |
| Provider Name | Tiffany Dawn Shelton |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1073998365 PECOS PAC ID: 5395082903 Enrollment ID: I20190121000430 |
| Provider Name | Jared Austin Fulgham |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659932275 PECOS PAC ID: 5597094284 Enrollment ID: I20190905001244 |
| Provider Name | Andrea Suzette Page |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1114455334 PECOS PAC ID: 0446528020 Enrollment ID: I20201216001813 |
| Provider Name | Tanner Egan Price |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1811556426 PECOS PAC ID: 3173938164 Enrollment ID: I20220730000383 |
| Provider Name | Laura Lb Schmitt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700282647 PECOS PAC ID: 3476890427 Enrollment ID: I20221004001114 |
| Provider Name | Daphne Ursula Hartzheim |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417532185 PECOS PAC ID: 7810368420 Enrollment ID: I20230118002084 |
| Provider Name | Keely Marie Perkes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356053607 PECOS PAC ID: 1355703984 Enrollment ID: I20230815001081 |
| Provider Name | Brooke Elise Hall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811762834 PECOS PAC ID: 0244680080 Enrollment ID: I20231220001794 |
| Provider Name | Bobbie Liechty |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417528738 PECOS PAC ID: 8224481247 Enrollment ID: I20240125004590 |
| Mailing Address | Practice Location Address |
|---|---|
6410 Old Main Hl, Logan, UT 84322-6410 Ph: (435) 797-1346 | 6410 Old Main Hl, Logan, UT 84322-6410 Ph: (435) 797-1346 |
Dr. Jeffery Blythe Larsen, PH.D., CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Old Main Hl, Comd Department, Umc 1000, Logan, UT 84322 Phone: 435-797-1390 | |
Dr. Heather Jo Jensen, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: Usu Hearing Clinic, 1000 Old Main Hill, Logan, UT 84322 Phone: 435-797-1390 Fax: 435-797-0221 | |
Tiffany Shelton, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1000 Old Main Hl, Logan, UT 84322 Phone: 435-797-1346 Fax: 435-797-0221 | |
Andrew Leon Cobabe, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-792-1950 Fax: 435-792-1615 | |
Dr. Andrea Suzette Page, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 6410 Old Main Hl, Logan, UT 84322 Phone: 435-797-1374 | |
Mitchell R Udy, Audiologist Medicare: Medicare Enrolled Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-753-1600 Fax: 435-753-9521 |