Blake Thomas Halliday in Riverdale - Marriage & Family Therapist
Blake Thomas Halliday - NPI 1710068473
Blake Thomas Halliday is a Marriage & Family Therapist in Riverdale, Utah. Blake Thomas Halliday practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Blake Thomas Halliday is 1710068473. The last update date is 2010-01-04.
Blake Thomas Halliday's current location address is 5149 S 1500 W, Riverdale, Utah. You can contact this provider via phone number 8014750402 and fax number 8014757464. The mailing address for Blake Thomas Halliday is 5149 S 1500 W, Riverdale, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blake Thomas Halliday |
|---|---|
| Address | 5149 S 1500 W, Riverdale, Utah |
| Phone Number | 8014750402 |
| Fax Number | 8014757464 |
| Sole Proprietor | N |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1710068473 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2010-01-04 |
Provider Mailing Address Detail
| Address | 5149 S 1500 W |
|---|---|
| City | Riverdale |
| State | Utah (UT) |
| Post Code | 844053926 |
| Phone Number | 8014750402 |
| Fax Number | 8014757464 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 5989003-3902 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 260022408 | RAILROAD MEDICARE | ||
| 876000308007 | UT | -- |
Post Comment/ Review Below
What is the Blake Thomas Halliday's unique identification number?
The Blake Thomas Halliday has been assigned the NPI (National Provider Identifier) Number 1710068473 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Blake Thomas Halliday's facilities are geographically located?
The facilities of Blake Thomas Halliday are physically situated at the following location: 5149 S 1500 W, Riverdale, UT, 844053926.
What is Blake Thomas Halliday's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Blake Thomas Halliday is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
When was the Blake Thomas Halliday's 1710068473 issued?
The Blake Thomas Halliday's 1710068473 was issued on 2006-10-18.
When was the information regarding Blake Thomas Halliday, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Blake Thomas Halliday, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-01-04.