Doctor Name: | NANCY LIEU |
NPI Number: | 1205124021 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 66424273501 |
Business Practice Address: | 7309 S 180 W Midvale, UT - 840471020 |
Business Phone Number: | 8015692153 |
Business Fax Number: | 8015679006 |
Mailing Address: | 7309 S 180 W, MIDVALE |
State: | UT |
Postal Code: | 840471020 |
Phone Number: | 8015692153 |
Fax Number: | 8015679006 |
NPI Enumeration Date: | 07/13/2011 |
NPI Last Update Date: | 07/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 66424273501 |
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 |