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NPI Code Detail

MEDICARE: HANNAH OSTLER LCSW

MEDICARE:   HANNAH  OSTLER  LCSW
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
11041C0700XClinical Social Worker12288156-3501UT

General Provider Information

NPI Number : 1205524360
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH OSTLER LCSW
Provider Business Mailing Address
First Line : 1789 E SKYLINE DR UNIT H6
Second Line :
City : EAGLE MOUNTAIN
State : UT
Zip : 84005-6541
Country : US
Telephone Number : 801-420-5483
Fax Number :
Provider Business Practice Location Address
First Line : 1399 S 700 E STE 12
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84105-2168
Country : US
Telephone Number : 385-262-4048
Fax Number : 801-303-7319
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2023
Last Update Date : 09/27/2023

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Directions to “ HANNAH OSTLER LCSW” Practice Location

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