Healthcare Provider Details

I. General information

NPI: 1497662571
Provider Name (Legal Business Name): RUBY YVETTE TUCHYNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 W HILL FIELD RD
LAYTON UT
84041-4662
US

IV. Provider business mailing address

1630 E CANYON DR
SOUTH WEBER UT
84405-9630
US

V. Phone/Fax

Practice location:
  • Phone: 801-336-6040
  • Fax:
Mailing address:
  • Phone: 801-336-3040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: