Healthcare Provider Details

I. General information

NPI: 1952232290
Provider Name (Legal Business Name): DANIELLE HALLEE MCGUFFIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 E 770 N
OREM UT
84097-4101
US

IV. Provider business mailing address

3711 N CUADE ST
EAGLE MOUNTAIN UT
84005-5837
US

V. Phone/Fax

Practice location:
  • Phone: 801-763-1313
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number13521367-3904
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: