Provider Information for 1437506128
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TANYA BEESLEY SMITH LCMHC, ASUDC
Sex: Female
NPI: 1437506128
Last Updated: 2024-05-17
Certification Date: 2024-05-17
Certification Date: 2024-05-17
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1437506128 | ||||||||||||
| Enumeration Date | 2016-05-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1350 E 750 N OREM, UT 84097-4345 United States Phone: 801-852-3868 | Fax:801-227-2185 | ||||||||||||
| Primary Practice Address | 1350 E 750 N OREM, UT 84097-4345 United States Phone: 801-852-3868 | Fax:801-227-2185 | ||||||||||||
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