Glade, Shaela

Glade, Shaela is an individual health care provider with primary practice located at 663 W 950 S , Brigham City UT 84302-3021. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Glade, Shaela can be contacted via phone (435) 734-9449.

Contact Information

Primary practice address
663 W 950 S Brigham City UT 84302-3021
Phone: (435) 734-9449
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 276750-6004 Utah

Profile Details

NPI number 1366766750
LBN Legal business name Glade, Shaela
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2010
Last updated Mar 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366766750 NPPES
Utah MEDICAID 1366766750

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