| Mary Beth Whittaker Lcsw | |
|
2290 E 4500 S Suite 210 Holladay UT 84117-4492 | |
| (801) 272-3533 | |
| (801) 272-3636 |
| Full Name | Mary Beth Whittaker Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2290 E 4500 S, Holladay, Utah |
| Authorized Official Name and Position | Mary Beth Whittaker (OWNER) |
| Authorized Official Contact | 8012723533 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Beth Whittaker Lcsw 2290 E 4500 S Suite 210 Holladay UT 84117-4492 Ph: (801) 272-3533 | Mary Beth Whittaker Lcsw 2290 E 4500 S Suite 210 Holladay UT 84117-4492 Ph: (801) 272-3533 |
| NPI Number | 1538538525 |
|---|---|
| Provider Enumeration Date | 09/19/2015 |
| Last Update Date | 09/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538538525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 130283-3501 (Utah) | Primary |
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