Doctor Name: | KATE EMILY GARRETT PACKER |
NPI Number: | 1053580621 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 94 E Pages Ln A Centerville, UT - 840142216 |
Business Phone Number: | 8012940578 |
Business Fax Number: | 8012982147 |
Mailing Address: | 4104 Madison Ave, B SOUTH OGDEN |
State: | UT |
Postal Code: | 844032824 |
Phone Number: | 8017914126 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2008 |
NPI Last Update Date: | 02/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |