Kayla Landis
Social Worker, School in Provo, UT. Individual provider (NPI-1).
NPI number1164061198
StatusActive
Last updated in NPPESDec 20, 2019
Details
- NPI
- 1164061198
- Entity type
- Individual (NPI-1)
- Name
- Kayla Landis
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2019
- Certification date
- Dec 20, 2019
- Last updated
- Dec 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041S0200X | Social Worker, School | – | – | Yes |
Practice location
1726 Buckley LnProvo, UT 84606-5031
Phone 801-373-6562
Mailing address
1726 Buckley LnProvo, UT 84606-5031
Phone 801-373-6562
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 40 School Social Worker providers in Provo · All 6,098 providers in Provo
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