Doctor Name: | MRS. EVANGELINA ORTEGA NEUMAN |
NPI Number: | 1013994946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 4891005-3501 |
Business Practice Address: | 1753 Sidewinder Dr Suite S 200 Park City, UT - 840607258 |
Business Phone Number: | 4356499079 |
Business Fax Number: | |
Mailing Address: | 1720 S 1800 E, SALT LAKE CITY |
State: | UT |
Postal Code: | 841082937 |
Phone Number: | 8014842274 |
Fax Number: | |
NPI Enumeration Date: | 12/30/2005 |
NPI Last Update Date: | 09/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 4891005-3501 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |