Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Black Lab Speech Therapy LLC

Organization Speech-Language Pathologist · NPI 1730064197

Black Lab Speech Therapy LLC is a Speech-Language Pathologist in Salt Lake City, Utah. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1174 E Graystone Way Ste 19
Salt Lake City, UT 84106-2678
Phone: (801) 678-0756
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1730064197
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Valles — Speech Therapist/ Owner · (801) 678-0756
NPI enumeratedAugust 6, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address1174 E Graystone Way Ste 19, Salt Lake City, UT 84106-2678

Other providers in Salt Lake City