Tammer Mahmoud Attallah, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Kearns, UT
NPI 1790755643 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790755643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 28811253501 (UT)
- Practice address
- 3809 W 6200 S
Kearns, UT 84118-3725 - Phone
- (801) 560-1548
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28811253501 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28811253501 | UT | Yes |
Addresses
Primary practice location
3809 W 6200 S
Kearns, UT 84118-3725
Mailing address
3809 W 6200 S
Kearns, UT 84118-3725
Phone (801) 560-1548
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2881253501 | Other | UT | LCSW LICENSE |
| 1041C0700X | Other | UT | TAXONOMY # |
| 28812535001001 | Other | UT | BLUE CROSS |
Other names
- Mr. Tammer M. Attallah
Other providers in Kearns, UT
- Yuri Alvarez
- Authentically You Mental Health Services LLC
- Carrie Yvonne Bartlett
- Subash Basnet
- David Beck
- Margene Beckstead
All providers in Kearns, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.