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NPI Code Detail

MEDICARE: TALON GREEFF L.P.C.

MEDICARE: TALON GREEFF L.P.C.
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 Counselor2896916004UT

General Provider Information

NPI Number : 1447411517
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALON GREEFF L.P.C.
Provider Business Mailing Address
First Line : 5800 HIGHLAND DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-1359
Country : US
Telephone Number : 801-272-9980
Fax Number :
Provider Business Practice Location Address
First Line : 5800 HIGHLAND DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-1359
Country : US
Telephone Number : 801-272-9980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2008
Last Update Date : 06/21/2008

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