NPI 1215984927

Martha Burkett Fallis, LCSW

Practitioner Clinical Social Worker Kearns, UT

Practice location

Address: 4334 Tidwell St, Kearns, UT 84118-5231
Phone: (801) 244-2426

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 5659619-3501 (UT)

Other Social Worker providers in Utah →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 56599619-3502 (UT)

Registry record

NPI: 1215984927
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 May 2006
Record last updated: 4 Jun 2014

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.