Jean Soderquist in West Valley City - Marriage & Family Therapist
Jean Soderquist - NPI 1063480580
Jean Soderquist is a Marriage & Family Therapist in West Valley City, Utah. Jean Soderquist practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jean Soderquist is 1063480580. The last update date is 2007-07-08.
Jean Soderquist's current location address is 2880 W 4700 S, West Valley City, Utah. You can contact this provider via phone number 8019642465 and fax number 8019649075. The mailing address for Jean Soderquist is 2880 W 4700 S, West Valley City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Soderquist |
|---|---|
| Address | 2880 W 4700 S, West Valley City, Utah |
| Phone Number | 8019642465 |
| Fax Number | 8019649075 |
| Sole Proprietor | X |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1063480580 |
|---|---|
| Provider Enumeration Date | 2006-03-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2880 W 4700 S |
|---|---|
| City | West Valley City |
| State | Utah (UT) |
| Post Code | 841182156 |
| Phone Number | 8019642465 |
| Fax Number | 8019649075 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 116830-3902 |
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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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What is the unique 10-digit identification code issued to Jean Soderquist by the Centers for Medicare & Medicaid Services?
The Jean Soderquist has been assigned the NPI (National Provider Identifier) 1063480580 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Jean Soderquist?
The Jean Soderquist is physically situated at 2880 W 4700 S, in the city of West Valley City, state of UT, with the postal code 841182156.
What is Jean Soderquist's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jean Soderquist's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Jean Soderquist receive its 1063480580 assignment from the Centers for Medicare & Medicaid Services?
The Jean Soderquist was assigned its 1063480580 by the Centers for Medicare & Medicaid Services on 2006-03-10.
As of what date were the details related to Jean Soderquist most recently updated or revised?
The information pertaining to Jean Soderquist, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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