Provider Demographics
NPI:1093880312
Name:OSBORNE, CHRISTINE SNOW (MS)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:SNOW
Last Name:OSBORNE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 971
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-0971
Mailing Address - Country:US
Mailing Address - Phone:801-547-8719
Mailing Address - Fax:866-908-7639
Practice Address - Street 1:8017 ROYAL LN
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093-6429
Practice Address - Country:US
Practice Address - Phone:801-652-9854
Practice Address - Fax:866-908-7639
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT108348-4101231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner