MEDICARE: MRS. ERIN R HARWARD M.S., C.G.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	170300000X	Genetic Counselor (M.S.)	5714853-3601	UT

General Provider Information

NPI Number	:	1346238219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN R HARWARD M.S., C.G.C.

Provider Business Mailing Address
First Line	:	127 S 500 E
Second Line	:	SUITE 600
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84102-1959
Country	:	US
Telephone Number	:	801-587-6336
Fax Number	:	801-715-8228

Provider Business Practice Location Address
First Line	:	30 N 1900 E
Second Line	:	NEUROLOGY, UNIVERSITY OF UTAH
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84132-0002
Country	:	US
Telephone Number	:	801-585-9717
Fax Number	:	801-587-9346

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2005
Last Update Date	:	04/07/2015

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