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NPI Code Detail

MEDICARE: TYLER FARNSWORTH

MEDICARE: TYLER FARNSWORTH
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 Counselor13639105-6004UT

General Provider Information

NPI Number : 1871218487
Entity Type Code : Individual
Provider Name (Legal Business Name) : TYLER FARNSWORTH
Provider Business Mailing Address
First Line : 2661 WASHINGTON BLVD STE 102
Second Line :
City : OGDEN
State : UT
Zip : 84401-3606
Country : US
Telephone Number : 801-621-8671
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 : 13-361-8398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2022
Last Update Date : 12/11/2025

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Directions to “ TYLER FARNSWORTH ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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