MR. Lane Entrekin, CCC-SLP

NPI #1508052325 in Riverton, Utah

Provider Information

NPI Number
1508052325
Entity Type
Individual
Name
MR. Lane Entrekin, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
CCC-SLP
Enumeration Date
Sep 16, 2007
Last Updated
Jul 28, 2010

Practice Location

Address
13762 S 3160 W
State
Utah
ZIP Code
84065-5901
Phone
(801) 243-5544

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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