Whittaker, Douglas Lynn

Whittaker, Douglas Lynn is an individual health care provider with primary practice located at 7434 S State St , Midvale UT 84047-2014. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Whittaker, Douglas Lynn can be contacted via phone (801) 566-4423.

Contact Information

Primary practice address
7434 S State St Midvale UT 84047-2014
Phone: (801) 566-4423
Fax: (801) 566-4779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 126368-3501 Utah

Profile Details

NPI number 1730165978
LBN Legal business name Whittaker, Douglas Lynn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1730165978 NPPES
Utah Other 94293834BLYN EDUCATORS MUTUAL
Utah Other 107032362101 EDUCATORS MUTUAL
Utah Other 827403 EDUCATORS MUTUAL
Utah Other 942938348003 EDUCATORS MUTUAL
Utah Other R88031 EDUCATORS MUTUAL

Popular Providers