Jeffrey Marvin Dalley in Provo - Clinical
Jeffrey Marvin Dalley - NPI 1922012251
Jeffrey Marvin Dalley is a Clinical in Provo, Utah. Jeffrey Marvin Dalley practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jeffrey Marvin Dalley is 1922012251. The last update date is 2023-09-07.
Jeffrey Marvin Dalley's current location address is 750 N Freedom Blvd, Provo, Utah. You can contact this provider via phone number 8013734760. The mailing address for Jeffrey Marvin Dalley is 750 N Freedom Blvd, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Marvin Dalley |
|---|---|
| Address | 750 N Freedom Blvd, Provo, Utah |
| Phone Number | 8013734760 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1922012251 |
|---|---|
| Provider Enumeration Date | 2006-07-29 |
| Last Updated Date | 2023-09-07 |
Provider Mailing Address Detail
| Address | 750 N Freedom Blvd |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846011677 |
| Phone Number | 8013734760 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 294359-3501 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Jeffrey Marvin Dalley by the Centers for Medicare & Medicaid Services?
The Jeffrey Marvin Dalley has been assigned the NPI (National Provider Identifier) 1922012251. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jeffrey Marvin Dalley is located?
The Jeffrey Marvin Dalley is situated at the following address: 750 N Freedom Blvd, Provo, UT, 846011677.
What is the Jeffrey Marvin Dalley's specialty and taxonomy code?
The Jeffrey Marvin Dalley's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Jeffrey Marvin Dalley receive its 1922012251 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Marvin Dalley was assigned its 1922012251 on 2006-07-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jeffrey Marvin Dalley's details last updated?
The information pertaining to the Jeffrey Marvin Dalley, including its address, specialty, and other details, was most recently updated on 2023-09-07.