Healthcare Provider Details

I. General information

NPI: 1184923575
Provider Name (Legal Business Name): MS. EMILY SCOFFIELD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2011
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 E COTTONWOOD PKWY STE 500
SALT LAKE CITY UT
84121-7060
US

IV. Provider business mailing address

564 W 300 N UNIT 6
PROVO UT
84601-2691
US

V. Phone/Fax

Practice location:
  • Phone: 385-204-4216
  • Fax:
Mailing address:
  • Phone: 385-204-4216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number7399303-3502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: