| Doctor Name: | CHERYL S COZZENS |
| NPI Number: | 1033136460 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 3339143501 |
| Business Practice Address: | 1055 N 300 W Ste 104 Provo, UT - 846043381 |
| Business Phone Number: | 8013577525 |
| Business Fax Number: | |
| Mailing Address: | Po Box 27128, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841270128 |
| Phone Number: | 8013577525 |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2006 |
| NPI Last Update Date: | 01/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 3339143501 |
| 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 |