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NPI Code Detail

MEDICARE: MS. GAIL TAYLOR SZYKULA M.S., LPC

MEDICARE: MS. GAIL TAYLOR SZYKULA M.S., LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor332921-6004UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
133292160001001OTHERUTBLUE CROSS BLUE SHIELD
250504OTHERUTPEHP

General Provider Information

NPI Number : 1043284953
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GAIL TAYLOR SZYKULA M.S., LPC
Provider Business Mailing Address
First Line : 1545 E 3300 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-3370
Country : US
Telephone Number : 801-478-2780
Fax Number : 801-478-2781
Provider Business Practice Location Address
First Line : 1545 E 3300 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-3370
Country : US
Telephone Number : 801-478-2780
Fax Number : 801-478-2781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 09/16/2008

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