NPI 1043511827

Travis Corey van Rum, CSW

Practitioner Clinical Social Worker Lehi, UT

Practice location

Address: 130 W Main St, Lehi, UT 84043-2100
Phone: (801) 891-6489

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 7722193-3502 (UT)

Other Social Worker providers in Utah →

Registry record

NPI: 1043511827
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Nov 2010
Record last updated: 9 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.