| Doctor Name: | DARREN WAYNE BURDETTE |
| NPI Number: | 1023376175 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | C.S.W. |
| License Number: | 48407383502 |
| Business Practice Address: | 1471 N 1200 W Orem, UT - 840572449 |
| Business Phone Number: | 8018029464 |
| Business Fax Number: | 8018027861 |
| Mailing Address: | 1471 N 1200 W, OREM |
| State: | UT |
| Postal Code: | 840572449 |
| Phone Number: | 8018029464 |
| Fax Number: | 8018027861 |
| NPI Enumeration Date: | 04/26/2012 |
| NPI Last Update Date: | 04/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 48407383502 |
| 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 |