MRS. DIANNE FARRELL HALE


Address: 650 Komas Dr, Suite 217-a, Salt Lake City, UT 84108-1215
Phone: 8015816250

MRS. DIANNE FARRELL HALE (NPI# 1073659090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073659090
Entity Type Individual
Full Name MRS. DIANNE FARRELL HALE
Credential LCSW
Practice Address 650 Komas Dr
Suite 217-a
Salt Lake City
UT 84108-1215
Mailing Address 2366 Sunnyside Ave
Salt Lake City
UT 84108-1449
Practice Telephone 8015816250
Practice Fax Number 8015855845
Mailing Telephone 8015835044
Mailing Fax Number 8015855845
Enumeration Date 2007-01-29
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
140233-3501 UT Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
UT L.C.S.W. 140233-3501 01

Office Location

Street Address 650 KOMAS DR
SUITE 217-A
City SALT LAKE CITY
State UT
Zip Code 84108-1215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295720969 Kevin Duff Clinical Neuropsychologist 650 Komas Dr, 106a, Salt Lake City, UT 84108-1215 2005-09-19
1396000873 Travis D Sorenson Social Worker 650 Komas Dr, Salt Lake City, UT 84108-1215 2012-07-10
1336410265 Bethany H Lawrence Social Worker 650 Komas Dr, 200, Salt Lake City, UT 84108-1215 2012-01-24
1538451455 University of Utah Adult Behavioral Health Services Psychiatry & Neurology 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 2011-05-11
1467614966 Jonathan Cox Psychologist 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 2008-06-26
1437347481 Emily Marie Grossell Pediatrics 650 Komas Dr, Suite 208, Salt Lake City, UT 84108-1215 2007-10-03
1952528374 Benjamin Russell Chan Psychiatry & Neurology 650 Komas Dr, Suite 200, Salt Lake City, UT 84108-1215 2007-04-19
1619003449 Michael Byron Johnson Nurse Practitioner 650 Komas Dr, 208, Salt Lake City, UT 84108-1215 2007-02-26
1700933538 Rachele Mary Mccarthey Pediatrics 650 Komas Dr, Suite 208, Salt Lake City, UT 84108-1215 2007-01-04
1376641456 Matthew Louis Moench Psychiatry & Neurology 650 Komas Dr, #208, Salt Lake City, UT 84108-1215 2006-09-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548753056 Maxine Ht Erickson Assistant Behavior Analyst 780 Guardsman Way, Salt Lake City, Ut 84108, Salt Lake City, USA 84108 2018-06-08
1841704061 Robyn Carver Occupational Therapist 421 Wakara Wat, Salt Lake City, UT 84108 2017-11-27
1518478742 Lcr Dental Sugar House Dentist 2068 S 2100 E Suite #a, Salt Lake City, UT 84108 2017-10-16
1447708912 Aubrianne Squire Evans Occupational Therapist 421 S Wakara Way Ste 201, Salt Lake City, UT 84108 2016-09-14
1629524426 Ryan Weisenbeck Specialist/Technologist 580 S Guardsman Way, Salt Lake City, UT 84108 2016-08-31
1164885547 Michael Fazzone Student in an Organized Health Care Education/Training Program 530 South Wakara Way, University of Urah, School of Dentistry, Salt Lake City, UT 84108 2016-04-01
1669833489 Bryon Claflin Registered Nurse 650 S Komas Ste 200, Salt Lake City, UT 84108 2016-03-08
1801283833 Autism Assement Treatment Program Adult Psychologist 650 S Komas, Suite 200, Salt Lake City, UT 84108 2015-04-16
1578993275 Matthew and David Dental Pllc Dentist 1355 Foothill Drive, Salt Lake City, UT 84108 2013-11-15
1841631520 Deepika Garg Internal Medicine 675 S Arapeen Dr Ste 205, Salt Lake City, UT 84108 2013-07-10
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1275169823 Ashley White Counselor 1190 S 300 E, Salt Lake City, UT 84111-4636 2020-03-16
1184257107 Richard Gregg Buxton Counselor 739 S 300 W Unit 113, Salt Lake City, UT 84101-2617 2020-02-18
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1114563681 Caroline Graham Counselor 131 E 700 S, Salt Lake City, UT 84111-3805 2019-11-20
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Competitor

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City SALT LAKE CITY
Zip Code 84108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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