Provider Demographics
NPI:1851605125
Name:PRESTON, ARRON W (MS, CCC/SLP)
Entity Type:Individual
Prefix:MR
First Name:ARRON
Middle Name:W
Last Name:PRESTON
Suffix:
Gender:M
Credentials:MS, CCC/SLP
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6800 OLD MAIN HILL
Mailing Address - Street 2:CENTER FOR PERSONS WITH DISABILITIES
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84322-6800
Mailing Address - Country:US
Mailing Address - Phone:435-797-3727
Mailing Address - Fax:435-797-3944
Practice Address - Street 1:6800 OLD MAIN HILL
Practice Address - Street 2:CENTER FOR PERSONS WITH DISABILITIES
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84322-6800
Practice Address - Country:US
Practice Address - Phone:435-797-3727
Practice Address - Fax:435-797-3944
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7537474-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist