Attallah, Gina Marie

Attallah, Gina Marie is an individual health care provider with primary practice located at 2525 S Lake Park Blvd Optumhealth, West Valley City UT 84120-8230. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Attallah, Gina Marie can be contacted via phone (801) 982-3064.

Contact Information

Primary practice address
2525 S Lake Park Blvd Optumhealth West Valley City UT 84120-8230
Phone: (801) 982-3064
Fax: (801) 982-3159
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 49721143501 Utah

Profile Details

NPI number 1679543185
LBN Legal business name Attallah, Gina Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Sep 11th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679543185 NPPES
Utah Other 49721143500001 BLUE CROSS
Utah Other 10704211101 BLUE CROSS

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