(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003554668
Provider Name: MARK MICHAEL DONNELLY
Entity Type: Individual
Taxonomy Code: 235Z00000X
Specialty: Speech-Language Pathologist
License Number:
Most Important Dates
Enumeration Date: 05/24/2022
Last Updated: 05/24/2022
Provider Practice Location
9361 S 300 E
SANDY
UT
840702902
Practice Location Phone/Fax
Phone: 8018265000
Fax:
Provider Mailing Location
2287 E HIGH MOUNTAIN DR
SANDY
UT
840925506
Provider Mailing Phone/Fax
Phone: 8017060459
Fax: