| Doctor Name: | TANYA NICOLE SANTIAGO |
| NPI Number: | 1225404163 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 79462043501 |
| Business Practice Address: | 1672 W 700 S Ste D Springville, UT - 846634963 |
| Business Phone Number: | 8014899721 |
| Business Fax Number: | |
| Mailing Address: | 325 E 1875 S, SPRINGVILLE |
| State: | UT |
| Postal Code: | 846632614 |
| Phone Number: | 8016878564 |
| Fax Number: | |
| NPI Enumeration Date: | 08/14/2015 |
| NPI Last Update Date: | 08/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 79462043501 |
| 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 |