Healthcare Provider Details

I. General information

NPI: 1649109620
Provider Name (Legal Business Name): CORINNE MORRIS DAVIDSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

879 S OREM BLVD STE 1
OREM UT
84058-5030
US

IV. Provider business mailing address

1521 E 400 N
LEHI UT
84043-5088
US

V. Phone/Fax

Practice location:
  • Phone: 801-802-8608
  • Fax: 801-221-1042
Mailing address:
  • Phone: 385-321-9732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: