Provider Demographics
NPI:1932754165
Name:WARD, MCKENZIE (MCKENZIE)
Entity Type:Individual
Prefix:
First Name:MCKENZIE
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:MCKENZIE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1074 W MERIDIAN DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:UT
Mailing Address - Zip Code:84045-4842
Mailing Address - Country:US
Mailing Address - Phone:801-830-8018
Mailing Address - Fax:
Practice Address - Street 1:2750 N DIGITAL DR LEHI
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043
Practice Address - Country:US
Practice Address - Phone:385-374-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist