IndividualActive
Amy Georgiades, M.A. CCC-SLP
NPI 1538551015 · Speech-Language Pathologist · South Salt Lake, UT
Provider details
- NPI number
- 1538551015
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.A. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 16160 (CA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2500 S State St
South Salt Lake, UT 84115-3164
Phone: (385) 646-5000
Street-level locationGet directions
Mailing address
4886 W Juniper Bend Dr
Herriman, UT 84096-1454
Additional practice locations (1)
- 255 Main StHalf Moon Bay, CA 94019-1721Phone: (303) 941-0179
Registry dates
- Enumerated
- 2015-02-20
- Last updated
- 2022-05-17
- Certified
- 2022-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.