Lynette Marie Malmstrom in Salt Lake City - Clinical

Lynette Marie Malmstrom - NPI 1770706079

Lynette Marie Malmstrom is a Clinical in Salt Lake City, Utah. Lynette Marie Malmstrom practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lynette Marie Malmstrom is 1770706079. The last update date is 2007-07-08.

Lynette Marie Malmstrom's current location address is 522 E 2100 S, Salt Lake City, Utah. You can contact this provider via phone number 8014864444 and fax number 8014864447. The mailing address for Lynette Marie Malmstrom is 522 E 2100 S, Salt Lake City, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Lynette Marie Malmstrom
Address 522 E 2100 S, Salt Lake City, Utah
Phone Number 8014864444
Fax Number 8014864447
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1770706079
Provider Enumeration Date 2007-04-11
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 522 E 2100 S
City Salt Lake City
State Utah (UT)
Post Code 841061423
Phone Number 8014864444
Fax Number 8014864447

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 135988-3501
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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FAQs about Lynette Marie Malmstrom

What is the Lynette Marie Malmstrom's unique identification number?

The Lynette Marie Malmstrom has been assigned the NPI (National Provider Identifier) Number 1770706079 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Lynette Marie Malmstrom's facilities are situated?

The facilities of Lynette Marie Malmstrom are physically located at the following address: 522 E 2100 S, Salt Lake City, UT, 841061423.

What is the area of specialization for Lynette Marie Malmstrom, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Lynette Marie Malmstrom is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.

On what date was the 1770706079 assigned to Lynette Marie Malmstrom?

The Lynette Marie Malmstrom was issued its 1770706079 on 2007-04-11, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Lynette Marie Malmstrom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Lynette Marie Malmstrom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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