| Doctor Name: | KAYLEEN SAVAGE DAVIDSON |
| NPI Number: | 1184915100 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 7721177-3502 |
| Business Practice Address: | 344 E 100 S Ste 301 Slc, UT - 841111727 |
| Business Phone Number: | 8013224257 |
| Business Fax Number: | |
| Mailing Address: | 524 Walton Dr, NORTH SALT LAKE |
| State: | UT |
| Postal Code: | 840546096 |
| Phone Number: | 8017921062 |
| Fax Number: | |
| NPI Enumeration Date: | 04/25/2011 |
| NPI Last Update Date: | 04/25/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 7721177-3502 |
| 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 |