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NPI Code Detail

MEDICARE: DEVIN JOYCE GOLD LCSW

MEDICARE: DEVIN JOYCE GOLD LCSW
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
11041C0700XClinical Social Worker12314770-3501UT

General Provider Information

NPI Number : 1790457711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVIN JOYCE GOLD LCSW
Provider Business Mailing Address
First Line : 331 S 600 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84102-4013
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 331 S 600 E
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84102-4013
Country : US
Telephone Number : 801-574-6125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2021
Last Update Date : 05/15/2024

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Directions to “ DEVIN JOYCE GOLD LCSW” Practice Location

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