Provider Demographics
NPI:1508941543
Name:HOWE, MARILYN K (SLP)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:K
Last Name:HOWE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:878 E 625 S
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-7406
Mailing Address - Country:US
Mailing Address - Phone:801-546-1328
Mailing Address - Fax:
Practice Address - Street 1:2540 WASHINGTON BLVD
Practice Address - Street 2:SUITE 144
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84401-3122
Practice Address - Country:US
Practice Address - Phone:801-626-3645
Practice Address - Fax:801-626-3657
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT106863-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT999000021002Medicaid