Provider Demographics
NPI:1275277998
Name:UFFORD, KATIE CHANELLE (RBT/SPEECH PARA PROF)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:CHANELLE
Last Name:UFFORD
Suffix:
Gender:F
Credentials:RBT/SPEECH PARA PROF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1360 W HIGHWAY 40 STE B
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-4203
Mailing Address - Country:US
Mailing Address - Phone:435-789-5683
Mailing Address - Fax:
Practice Address - Street 1:1360 W HIGHWAY 40 STE B
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-4203
Practice Address - Country:US
Practice Address - Phone:435-789-5683
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant