OrganizationActive
Black Lab Speech Therapy LLC
NPI 1730064197 · Speech-Language Pathologist · Salt Lake City, UT
Provider details
- NPI number
- 1730064197
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Jacqueline Valles, Speech Therapist/ Owner(801) 678-0756
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1174 E Graystone Way Ste 19
Salt Lake City, UT 84106-2678
Phone: (801) 678-0756
Street-level locationGet directions
Mailing address
1174 E Graystone Way Ste 19
Salt Lake City, UT 84106-2678
Registry dates
- Enumerated
- 2025-08-06
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.