MEDICARE: MS. HOLLY MAJOR-YEH L.C.S.W.

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	263414-3501	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26341435000001	OTHER	UT	BLUE CROSS

General Provider Information

NPI Number	:	1578540407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HOLLY MAJOR-YEH L.C.S.W.

Provider Business Mailing Address
First Line	:	1225 E. FT. UNION BLVD, SUITE 215
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84047
Country	:	US
Telephone Number	:	801-233-4200
Fax Number	:	801-233-4239

Provider Business Practice Location Address
First Line	:	1225 E. FT. UNION BLVD, SUITE 215
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84047
Country	:	US
Telephone Number	:	801-566-4423
Fax Number	:

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

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	01/15/2014

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