Doctor Name: | MS. NANCY LANDON-DAVIS |
NPI Number: | 1073743894 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PC EXTERN |
License Number: | 7013438-6010 |
Business Practice Address: | 7370 Creek Rd Ste 102 Sandy, UT - 840936162 |
Business Phone Number: | 8015427060 |
Business Fax Number: | 8015427061 |
Mailing Address: | 1523 Santiago Ln Apt 34, SALT LAKE CITY |
State: | UT |
Postal Code: | 841217188 |
Phone Number: | 8017500776 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2009 |
NPI Last Update Date: | 07/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 7013438-6010 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |