Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Heru Hendarto, MD, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1235449539

Heru Hendarto, MD, MS, CCC-SLP is a Speech-Language Pathologist in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

755 Justin Kay Ct
Salt Lake City, UT 84104-1619
Phone: (801) 599-7471
Fax: (801) 956-0741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 4841650-4102 (UT)

Record details

NPI number1235449539
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MS , CCC-SLP
Sole proprietorYes
NPI enumeratedOctober 20, 2010
Last updated in NPPESOctober 20, 2010

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