Nicassia Oman
Speech-Language Pathologist, in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1669915765
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1669915765
- Entity type
- Individual (NPI-1)
- Name
- Nicassia Oman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2016
- Certification date
- Dec 1, 2021
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 9841757-4102 | UT | Yes |
Practice location
50 N Medical DrSalt Lake City, UT 84132-0001
Phone 801-587-3422
Mailing address
3766 S 2000 ESalt Lake City, UT 84109-3318
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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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