TIMOTHY FIDLER
NPI 1669782405
Counselor - Mental Health in Draper, UT
Active since October 14, 2010
About Timothy Fidler NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY FIDLER (NPI 1669782405) is an individual mental health provider in Draper, Utah and active in the NPI registry since October 2010.
NPPES Registry Identity
NPI1669782405
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTIMOTHY FIDLER
Location Address13073 WHEATFIELD WAYDraper, UT 84020-9253
Mailing Address13073 Wheatfield WayDraper, UT 84020-9253 · (801) 495-0946 · Fax (801) 495-2076
Phone(801) 495-0946
Fax(801) 495-2076
Sole ProprietorYes
Enumeration DateOctober 14, 2010
✔ NPI 1669782405 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
13073 WHEATFIELD WAY, Draper, UT 84020
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Residential Treatment Facility, Emotionally Disturbed Children
13073 WHEATFIELD WAY
DRAPER, UT 84020
DRAPER, UT 84020
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669782405, enumerated as an "individual" on October 14, 2010.
The provider is located at 13073 WHEATFIELD WAY DRAPER, UT 84020 and the phone number is (801) 495-0946.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
