Healthcare Provider Details

I. General information

NPI: 1164345443
Provider Name (Legal Business Name): MARIA MAGDALENA VALDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1525 LINCOLN AVE
OGDEN UT
84404-5638
US

IV. Provider business mailing address

877 W 1145 N
CLINTON UT
84015-8876
US

V. Phone/Fax

Practice location:
  • Phone: 801-621-6510
  • Fax:
Mailing address:
  • Phone: 801-921-3997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: