Brad Lundahl is a Clinical in Salt Lake City, Utah. Brad Lundahl practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brad Lundahl is 1033239827. The last update date is 2021-09-21.
Brad Lundahl's current location address is 4000 S 700 E Ste 9, Salt Lake City, Utah. You can contact this provider via phone number 8016354141 and fax number 8012634333. The mailing address for Brad Lundahl is 4000 S 700 E Ste 9, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad Lundahl |
|---|---|
| Address | 4000 S 700 E Ste 9, Salt Lake City, Utah |
| Phone Number | 8016354141 |
| Fax Number | 8012634333 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1033239827 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2021-09-21 |
Provider Mailing Address Detail
| Address | 4000 S 700 E Ste 9 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841072581 |
| Phone Number | 8016354141 |
| Fax Number | 8012634333 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 295041-3501 |
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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 provider identifier assigned to Brad Lundahl?
The Brad Lundahl has been issued the NPI (National Provider Identifier) 1033239827 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Brad Lundahl is located?
The Brad Lundahl is situated at the following address: 4000 S 700 E Ste 9, Salt Lake City, UT, 841072581.
What is the Brad Lundahl's specialty and taxonomy code?
The Brad Lundahl's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
When did Brad Lundahl receive its 1033239827 assignment?
The Brad Lundahl was assigned its 1033239827 on 2007-03-29, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Brad Lundahl most recently updated or revised?
The details related to Brad Lundahl, including its address, specialty, and other relevant information, were last updated or revised on 2021-09-21.