| Amanda Carole Stark, MS | |
|
729 Arapeen Dr, Salt Lake City, UT 84108-1218 | |
| (801) 587-8368 | |
| Not Available |
| Full Name | Amanda Carole Stark |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 729 Arapeen Dr, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649535022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 8345344-4104 (Utah) | Primary |
| Provider Name | University Of Utah |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588656870 PECOS PAC ID: 0749262665 Enrollment ID: O20050629000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Carole Stark, MS 729 Arapeen Dr, Salt Lake City, UT 84108-1218 Ph: (801) 587-8368 | Amanda Carole Stark, MS 729 Arapeen Dr, Salt Lake City, UT 84108-1218 Ph: (801) 587-8368 |
Colleen M St Amand, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S Ste 100, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955 | |
Kenton W Layden, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S Ste 100, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955 | |
Shauntel Mei Li Anderson, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 85 N Medical Dr, Salt Lake City, UT 84112 Phone: 503-765-9148 | |
Mrs. Cheri Danielle Blades, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Drive Som 1r73, Salt Lake City, UT 84132 Phone: 801-581-2885 | |
Katelyn Suzanne Thatcher, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Roxann B Hunt, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 44 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-584-8215 | |
Elizabeth Caldwell Hill, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 833-577-3422 |