Provider Demographics
NPI:1265075980
Name:SCHAUGAARD, AMY LEE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LEE
Last Name:SCHAUGAARD
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 N 900 W
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:UT
Mailing Address - Zip Code:84015-8872
Mailing Address - Country:US
Mailing Address - Phone:801-698-7037
Mailing Address - Fax:
Practice Address - Street 1:915 N 400 W STE 110
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-2383
Practice Address - Country:US
Practice Address - Phone:801-217-3390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-25
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10694588-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist