Theresa A Holleran in Salt Lake City - Clinical
Theresa A Holleran - NPI 1073536488
Theresa A Holleran is a Clinical in Salt Lake City, Utah. Theresa A Holleran practices all healthcare services and medical treatments related to Clinical. The NPI Number for Theresa A Holleran is 1073536488. The last update date is 2007-07-08.
Theresa A Holleran's current location address is 150 S 600 E Ste 7c, Salt Lake City, Utah. You can contact this provider via phone number 8015240560 and fax number 8013642585. The mailing address for Theresa A Holleran is 150 S 600 E Ste 7c, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa A Holleran |
|---|---|
| Address | 150 S 600 E Ste 7c, Salt Lake City, Utah |
| Phone Number | 8015240560 |
| Fax Number | 8013642585 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1073536488 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 150 S 600 E Ste 7c |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841021989 |
| Phone Number | 8015240560 |
| Fax Number | 8013642585 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1200673501 |
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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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Post Comment/ Review Below
What is the Theresa A Holleran's unique identification number?
The Theresa A Holleran has been assigned the NPI (National Provider Identifier) Number 1073536488 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 address where Theresa A Holleran is geographically located?
The Theresa A Holleran is physically situated at the following location: 150 S 600 E Ste 7C, Salt Lake City, UT, 841021989.
What is Theresa A Holleran's specialized field of practice, and what is the corresponding taxonomy classification code?
The Theresa A Holleran's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Theresa A Holleran receive its 1073536488 assignment from the Centers for Medicare & Medicaid Services?
The Theresa A Holleran was assigned its 1073536488 by the Centers for Medicare & Medicaid Services on 2006-07-26.
As of what date were the details related to Theresa A Holleran most recently updated or revised?
The information pertaining to Theresa A Holleran, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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