Mikenzi Ford, MS, CCC-SLP

NPI #1154023562 in Logan, Utah

Provider Information

NPI Number: 1154023562
Entity Type: Individual
Name: Mikenzi Ford, MS, CCC-SLP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Speech-Language Pathologist
Credential: MS, CCC-SLP
Enumeration Date: Mar 20, 2023
Last Updated: Mar 20, 2023

Practice Location

Address: 500 E 1400 N
City: Logan
State: Utah
ZIP Code: 84341-8434
Phone: (435) 716-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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