Doctor Name: | ADRIANA CATALINA OTTONELLI |
NPI Number: | 1053538264 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 380164-3501 |
Business Practice Address: | 1350 E 750 N Orem, UT - 840974345 |
Business Phone Number: | 8012237105 |
Business Fax Number: | 8012237130 |
Mailing Address: | 245 N 1300 E, PLEASANT GROVE |
State: | UT |
Postal Code: | 840623021 |
Phone Number: | 8013615790 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 380164-3501 |
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 |