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BLACK LAB SPEECH THERAPY LLC
NPI 1730064197
Speech-Language Pathologist in Salt Lake City, UT

Active since August 06, 2025
1174 E GRAYSTONE WAY STE 19, SALT LAKE CITY, UT 84106(801) 678-0756 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Black Lab Speech Therapy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK LAB SPEECH THERAPY LLC (NPI 1730064197) is a healthcare organization registered as a speech-language pathologist in Salt Lake City, Utah and active in the NPI registry since August 2025. The organization lists Jacqueline Valles, Speech Therapist/ Owner, as its authorized official.

NPPES Registry Identity

NPI1730064197
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameBLACK LAB SPEECH THERAPY LLC
Location Address1174 E GRAYSTONE WAY STE 19Salt Lake City, UT 84106-2678
Mailing Address1174 E Graystone Way Ste 19Salt Lake City, UT 84106-2678 · (801) 678-0756
Phone(801) 678-0756
Organization SubpartNo
Authorized OfficialJacqueline VallesSpeech Therapist/ Owner · (801) 678-0756
Enumeration DateAugust 6, 2025
NPPES CertifiedAugust 6, 2025
✔ NPI 1730064197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1174 E GRAYSTONE WAY STE 19, Salt Lake City, UT 84106
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black Lab Speech Therapy LLC's NPI number?

The NPI number for Black Lab Speech Therapy LLC is 1730064197. It was assigned to this organization in the NPPES registry on August 6, 2025.

Where is Black Lab Speech Therapy LLC located?

Black Lab Speech Therapy LLC is located at 1174 E Graystone Way Ste 19, Salt Lake City, UT 84106. The listed phone number is (801) 678-0756.

What is Black Lab Speech Therapy LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Black Lab Speech Therapy LLC was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.