Healthcare Provider Details

I. General information

NPI: 1063017937
Provider Name (Legal Business Name): VERONICA BARBARA ARGYLE CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 E VINE ST
MURRAY UT
84107-7904
US

IV. Provider business mailing address

56 SECRETARIAT WAY
FARMINGTON UT
84025-5038
US

V. Phone/Fax

Practice location:
  • Phone: 801-266-4643
  • Fax: 801-266-4775
Mailing address:
  • Phone: 801-503-1181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11765284-3502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: