Doctor Name: | DR. BETH ANN HAGGETT |
NPI Number: | 1720257314 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, PHD |
License Number: | 68085773501 |
Business Practice Address: | 210 E Main St Suite 108 Midway, UT - 840496806 |
Business Phone Number: | 4356571777 |
Business Fax Number: | 4356570098 |
Mailing Address: | 210 E Main St, Suite 101 MIDWAY |
State: | UT |
Postal Code: | 840496806 |
Phone Number: | 4356571777 |
Fax Number: | 4356570098 |
NPI Enumeration Date: | 02/27/2008 |
NPI Last Update Date: | 11/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 68085773501 |
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 |