Doctor Name: | AMY THOMAS |
NPI Number: | 1023438116 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 6751286-3502 |
Business Practice Address: | 8265 W 2700 S Magna, UT - 840441323 |
Business Phone Number: | 8012509762 |
Business Fax Number: | |
Mailing Address: | 8265 W 2700 S, MAGNA |
State: | UT |
Postal Code: | 840441323 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/16/2014 |
NPI Last Update Date: | 04/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6751286-3502 |
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 |