Provider Demographics
NPI:1528458122
Name:TURKOGLU, MICHELLE (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:TURKOGLU
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 S LINCOLN ST
Mailing Address - Street 2:UPPR
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-2166
Mailing Address - Country:US
Mailing Address - Phone:408-910-1720
Mailing Address - Fax:
Practice Address - Street 1:179 N 1200 E
Practice Address - Street 2:SUITE 101
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-2255
Practice Address - Country:US
Practice Address - Phone:801-935-4171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-03
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT8817811-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist