Doctor Name: | TERI ELIZABETH DAWSON |
NPI Number: | 1568736361 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LW60497055 |
Business Practice Address: | 199 N 290 W Ste 150 Lindon, UT - 840425004 |
Business Phone Number: | 8018517118 |
Business Fax Number: | |
Mailing Address: | 857 Columbia Ln Apt 32, PROVO |
State: | UT |
Postal Code: | 846046439 |
Phone Number: | 8016025373 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2012 |
NPI Last Update Date: | 10/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LW60497055 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |