Healthcare Provider Details

I. General information

NPI: 1477527190
Provider Name (Legal Business Name): THERESE M TUOHY PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 CIRCLE OF HOPE HRCC HCI UNIVERSITY OF UTAH
SALT LAKE CITY UT
84112-5550
US

IV. Provider business mailing address

2000 CIRCLE OF HOPE HRCC HCI UNIVERSITY OF UTAH
SALT LAKE CITY UT
84112-5550
US

V. Phone/Fax

Practice location:
  • Phone: 801-587-4238
  • Fax: 801-585-2980
Mailing address:
  • Phone: 801-587-4238
  • Fax: 801-585-2980

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number5984324-3601
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: