Doctor Name: | MRS. JANET BENNION METCALF |
NPI Number: | 1063436228 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5331976-3501 |
Business Practice Address: | 8915 S 700 E Ste 203 Sandy, UT - 840702422 |
Business Phone Number: | 8019385151 |
Business Fax Number: | |
Mailing Address: | 9465 S 2805 W, SOUTH JORDAN |
State: | UT |
Postal Code: | 840953301 |
Phone Number: | 8012549922 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 02/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 5331976-3501 |
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 |