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

Jordan Blazovich

Individual provider Speech-Language Pathologist · NPI 1457116303

Jordan Blazovich is a Speech-Language Pathologist in Salt Lake City, Utah. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1155 E 2100 S Apt 726
Salt Lake City, UT 84106-6805
Phone: (307) 371-2628
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 14412220

Record details

NPI number1457116303
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 20, 2024
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024
Mailing address1155 E 2100 S Apt 726, Salt Lake City, UT 84106-6805

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