Healthcare Provider Details

I. General information

NPI: 1184547606
Provider Name (Legal Business Name): CORIN CHARITY MARSH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 S 100 E APT 2
SPRINGVILLE UT
84663-1361
US

IV. Provider business mailing address

95 S 100 E APT 2
SPRINGVILLE UT
84663-1361
US

V. Phone/Fax

Practice location:
  • Phone: 435-580-9370
  • Fax:
Mailing address:
  • Phone: 435-580-9370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14299246-3502
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: