Kami Westbroek Hendry, LAMFT

Individual provider Active NPI Marriage & Family Therapist · Sandy, UT

NPI 1194261990 · NPPES record last updated Jan 17, 2017

Key facts

NPI
1194261990
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
337629-3904 (UT)
Practice address
11075 S State St
Suite 35
Sandy, UT 84070-5164
Phone
(801) 432-0103
NPI assigned
Jan 17, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
337629-3904UTMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 337629-3904 UT Yes

Addresses

Primary practice location

11075 S State St
Suite 35
Sandy, UT 84070-5164

Mailing address

14656 S Rose Summit Dr
Herriman, UT 84096-3447
Phone (801) 432-0101

Other providers in Sandy, UT

All providers in Sandy, UT · Marriage & Family Therapist in Utah

Sources for this page

Verify at the official NPI Registry.