Taylor Cameron Herrin, LMFT
Individual provider Active NPI Marriage & Family Therapist · Riverdale, UT
NPI 1487933909 · NPPES record last updated Aug 15, 2011
Key facts
- NPI
- 1487933909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 6784539-3902 (UT)
- Practice address
- 5149 S 1500 W
Riverdale, UT 84405-3926 - Phone
- (801) 475-0402
- Fax
- (801) 475-7464
- NPI assigned
- Aug 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6784539-3902 | UT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 6784539-3902 | UT | Yes |
Addresses
Primary practice location
5149 S 1500 W
Riverdale, UT 84405-3926
Mailing address
120 S Sam Gates Rd
Ogden, UT 84404-4773
Phone (801) 475-0402
Other providers in Riverdale, UT
- Ryley Hansen
- B. Shane Harmon
- Addison Hatch
- Health Services Utah
- Steven Fred Heinze
- Holbrook Behavioral Counseling LLC
- Heidi Marie Hollingsworth
- Alyssa House
- Kylee Hunter
- Insightful Counseling Services LLC
All providers in Riverdale, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.