Provider Demographics
NPI:1912160714
Name:LODZINS, DAVID HUGH (MS CCCA)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:HUGH
Last Name:LODZINS
Suffix:
Gender:M
Credentials:MS CCCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 S 700 E
Mailing Address - Street 2:STE 10
Mailing Address - City:SLC
Mailing Address - State:UT
Mailing Address - Zip Code:84107-2580
Mailing Address - Country:US
Mailing Address - Phone:801-268-4141
Mailing Address - Fax:
Practice Address - Street 1:4000 S 700 E
Practice Address - Street 2:STE 10
Practice Address - City:SLC
Practice Address - State:UT
Practice Address - Zip Code:84107-2580
Practice Address - Country:US
Practice Address - Phone:801-268-4141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT49862914101231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist