Healthcare Provider Details

I. General information

NPI: 1881526416
Provider Name (Legal Business Name): JULIE L. GERBER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5965 S 900 E STE 100
MURRAY UT
84121-1850
US

IV. Provider business mailing address

5965 S 900 E STE 100
MURRAY UT
84121-1850
US

V. Phone/Fax

Practice location:
  • Phone: 801-872-5516
  • Fax: 801-212-9942
Mailing address:
  • Phone: 801-872-5516
  • Fax: 801-212-9942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number298581-3501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: