Jaime Alden Booz
Speech-Language Pathologist, in Midvale, UT. Individual provider (NPI-1).
NPI number1083245690
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1083245690
- Entity type
- Individual (NPI-1)
- Name
- Jaime Alden Booz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2020
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 10231059-4102 | UT | Yes |
Other names
- Jaime Alden Booz (Other Name)
Practice location
1012 W Jordan River BlvdMidvale, UT 84047-4865
Phone 801-647-5691
Mailing address
655 E 3065 SSouth Salt Lake, UT 84106-1350
Phone 801-647-5691
Other practice locations
50 N Medical Dr
Salt Lake City, UT 84132-0001
Salt Lake City, UT 84132-0001
Phone 801-647-5691
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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