GLENN DUTTON (NPI# 1255507612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255507612 |
Entity Type | Individual |
Full Name | GLENN DUTTON |
Credential | CPCI |
Practice Address |
5691 S Redwood Rd Unit 16 Taylorsville UT 84123-5485 |
Practice Telephone | 8012653895 |
Practice Fax Number | 8012631265 |
Mailing Telephone | 8012653895 |
Mailing Fax Number | 8012631265 |
Enumeration Date | 2008-05-06 |
Last Update Date | 2008-05-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
274192-6009 | UT | Behavioral Health & Social Service Providers |
Street Address |
5691 S REDWOOD RD UNIT 16 |
City | TAYLORSVILLE |
State | UT |
Zip Code | 84123-5485 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033392873 | Darren Elkins | Marriage & Family Therapist | 5691 S Redwood Rd Unit 16, Taylorsville, UT 84123-5485 | 2007-12-16 |
1770124299 | Mutsumi Bramble | Counselor | 5691 S Redwood Rd Unit 16, Taylorsville, UT 84123-5485 | 2019-10-06 |
1952570210 | Heather Smith | Social Worker | 5691 S Redwood Rd Unit 16, Taylorsville, UT 84123-5485 | 2008-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679186837 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 5792 South Redwood Road, Taylorsville, UT 84123 | 2020-08-27 |
1164040614 | Mark E Hutchinson | Counselor | 5047 S Galleria Drive, Murray, UT 84123 | 2020-07-10 |
1396259321 | Utah Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4082 South Redwood Road, West Valley Road, UT 84123 | 2017-11-29 |
1083131890 | Kelli Mcstotts | Counselor | 5689 S. Redwood Road, Taylorsville, UT 84123 | 2017-08-23 |
1740706571 | Laura B Ellsworth | Case Manager/Care Coordinator | 5667 So. Redwood Road, 6b, Salt Lake City, UT 84123 | 2017-08-14 |
1790214120 | Integrated Autism Therapies | Behavioral Analyst | 5984 S. Susquehanna, Murray, UT 84123 | 2017-06-08 |
1083163885 | Michael John Flint | Counselor | 5861 South Redwood Road, #24, Taylorsville, UT 84123 | 2016-09-22 |
1548716236 | Andres Ramos | Licensed Psychiatric Technician | 697 West 4170 South, Murray, UT 84123 | 2016-09-01 |
1467807040 | Sheryl R Schindler | Counselor | 5770 South 1550 West, Bldg G, Primary Children's Counseling Center, Taylorsville, UT 84123 | 2016-05-02 |
1730562141 | Megan Merica Snarr | Dentist | 597 West 5300 South, Murray, UT 84123 | 2015-07-02 |
Find all providers in zip 84123 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942853726 | John Eugene Dyson | Counselor | 100 7th St Sw, Taylorsville, NC 28681-2410 | 2019-07-20 |
1518452218 | Brandi Sweet | Counselor | 5663 S Redwood Rd Ste Office14, Taylorsville, UT 84123-5387 | 2018-06-25 |
1043699812 | Jodi Province Counseling Services Pllc | Counselor | 99 E Main Ave, Taylorsville, NC 28681-2540 | 2015-05-26 |
1144481672 | Kara Jo-lyn Moose | Counselor | 864 Lake Vista Ln, Taylorsville, NC 28681-8017 | 2008-06-18 |
1205008570 | Martha Cornelia Rhyne Winkler | Counselor | 85 Bulldog Lane, West Alexander Middle School, Taylorsville, NC 28681-3354 | 2008-03-27 |
1073656906 | Kent Garth Larson | Counselor | 3578 W 4850 S, Taylorsville, UT 84118-2836 | 2007-02-14 |
1346299583 | Alexander Counseling and Consulting Services, Inc. | Counselor | 153 N Nc Highway 16, Taylorsville, NC 28681-2471 | 2006-05-06 |
1124660808 | Ronald Everett Tenney | Counselor | 3509 W 4700 S, Taylorsville, UT 84129-2846 | 2019-10-14 |
1841406550 | Anne Patterson Teague | Counselor | 397 3rd Ave Sw, Taylorsville, NC 28681-4180 | 2007-05-16 |
1407805377 | Tamara H. Guess | Counselor | 153 N Nc Highway 16, Taylorsville, NC 28681-2471 | 2006-05-09 |
Find all providers in TAYLORSVILLE |
City | TAYLORSVILLE |
Zip Code | 84123 |
Please comment or provide details below to improve the information on GLENN DUTTON.
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.