Ishimatsu, Tammi Y.
Ishimatsu, Tammi Y. is an individual health care provider with primary practice located at 2832 W 4700 S Suite B, Taylorsville UT 84129-2155. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ishimatsu, Tammi Y. can be contacted via phone (801) 550-5428.Contact Information
Primary practice address
2832 W 4700 S Suite B
Taylorsville UT 84129-2155
Phone: (801) 550-5428
Fax: (801) 964-6003
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 335924-3501 | Utah |
Profile Details
| NPI number | 1730150210 |
|---|---|
| LBN Legal business name | Ishimatsu, Tammi Y. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Nov 16th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730150210 | NPPES |
| Utah | Other | 33592435000001 | BLUE CROSS |
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