MEDICARE: PHOEBE GALVEZ

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
1	1041C0700X	Clinical Social Worker	9818108-3501	UT

General Provider Information

NPI Number	:	1215301650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHOEBE GALVEZ

Provider Business Mailing Address
First Line	:	145 E 1300 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84115-5482
Country	:	US
Telephone Number	:	385-468-3442
Fax Number	:	385-468-3560

Provider Business Practice Location Address
First Line	:	1516 S 1100 E STE A
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84105-2425
Country	:	US
Telephone Number	:	435-287-4197
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2015
Last Update Date	:	05/11/2023

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Directions to “ PHOEBE GALVEZ ” Practice Location

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