Provider Demographics
NPI:1689411886
Name:KRUTSCH, HAYLEE NOELLE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:HAYLEE
Middle Name:NOELLE
Last Name:KRUTSCH
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 1:658 LISTON CIR
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-1562
Mailing Address - Country:US
Mailing Address - Phone:801-518-0202
Mailing Address - Fax:
Practice Address - Street 1:12637 S 265 W STE 300
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-5403
Practice Address - Country:US
Practice Address - Phone:801-518-0202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14014062-4102235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist