Healthcare Provider Details

I. General information

NPI: 1063800696
Provider Name (Legal Business Name): LINDSEY MERRILL SCMT, MT-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2015
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

491 KIRK ST
LAYTON UT
84041-2605
US

IV. Provider business mailing address

491 KIRK ST
LAYTON UT
84041-2605
US

V. Phone/Fax

Practice location:
  • Phone: 435-494-8096
  • Fax:
Mailing address:
  • Phone: 435-494-8096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: