Healthcare Provider Details

I. General information

NPI: 1114794591
Provider Name (Legal Business Name): LEIGH ANNE FINLINSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2023
Last Update Date: 12/06/2023
Certification Date: 12/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

780 S 2000 W STE 105
SYRACUSE UT
84075-9602
US

IV. Provider business mailing address

780 S 2000 W STE 105
SYRACUSE UT
84075-9602
US

V. Phone/Fax

Practice location:
  • Phone: 801-332-9201
  • Fax: 385-423-2379
Mailing address:
  • Phone: 801-332-9201
  • Fax: 385-423-2379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number11932194-3501
License Number StateUT

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: