Tyler Whittaker
NPI 1396110615 · on the registry since 2015
Practice
- Address
- 2860 E 19500 N
Moroni, UT 84646 - Phone
- (435) 436-9029
- Fax
- (435) 436-9027
- Organisation at this address
- Blue Hills Residential Treatment
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah