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NPI Code Detail

MEDICARE: MR. CORY LYNN BLUEMEL CSW

MEDICARE: MR. CORY LYNN BLUEMEL CSW
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 Worker12933252-3501UT

General Provider Information

NPI Number : 1841924693
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CORY LYNN BLUEMEL CSW
Provider Business Mailing Address
First Line : 934 S MAIN ST
Second Line :
City : LAYTON
State : UT
Zip : 84041-7135
Country : US
Telephone Number : 801-773-7060
Fax Number :
Provider Business Practice Location Address
First Line : 934 S MAIN ST
Second Line :
City : LAYTON
State : UT
Zip : 84041-7135
Country : US
Telephone Number : 801-773-7060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2022
Last Update Date : 12/13/2025

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