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NPI Code Detail

MEDICARE: CATHERINE RILEY-BEERMAN HEDMAN

MEDICARE: CATHERINE RILEY-BEERMAN HEDMAN
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
1106S00000XBehavior Technician
2222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1356716526
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE RILEY-BEERMAN HEDMAN
Provider Business Mailing Address
First Line : 2985 N 935 E SUITE #7
Second Line :
City : LAYTON
State : UT
Zip : 84070
Country : US
Telephone Number : 801-771-0273
Fax Number :
Provider Business Practice Location Address
First Line : 2985 N 935 E STE 7
Second Line :
City : LAYTON
State : UT
Zip : 84040-7318
Country : US
Telephone Number : 801-771-0273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2015
Last Update Date : 01/23/2017

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Directions to “ CATHERINE RILEY-BEERMAN HEDMAN ” Practice Location

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