Healthcare Provider Details

I. General information

NPI: 1316770167
Provider Name (Legal Business Name): JANET HARKNESS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
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

14349 S ROUND ROCK DR
HERRIMAN UT
84096-8213
US

V. Phone/Fax

Practice location:
  • Phone: 801-802-8308
  • Fax:
Mailing address:
  • Phone: 443-346-3720
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: