Attridge, Mary Christena
Attridge, Mary Christena is an sole proprietor health care provider with primary practice located at 6770 S 900 E Ste 105 , Midvale UT 84047-1710. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Attridge, Mary Christena can be contacted via phone (801) 305-3171.Contact Information
Primary practice address
6770 S 900 E Ste 105
Midvale UT 84047-1710
Phone: (801) 305-3171
Fax: (801) 904-3632
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist | 221700000X | 06-009 | |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 9022525-6004 | Utah |
Profile Details
NPI number | 1295025575 |
---|---|
LBN Legal business name | Attridge, Mary Christena |
Credentials | CMHC, ATR-BC, ATCS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 8th, 2011 |
Last updated | Jun 11th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295025575 | NPPES |
Other | 06-009 | ATR-BC, ATCS | |
Other | 9022525-6004 | ATR-BC, ATCS |
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