Individual
MR. PAUL DAVID HARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
807 E SOUTH TEMPLE STE 370, SALT LAKE CITY, UT 84102-1351
(801) 521-0182
(801) 521-0196
Mailing address
221 W 650 N, CLEARFIELD, UT 84015-3712
(801) 779-4913
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
117-C LCSW
NV
1041C0700X
Clinical Social Worker
22727 LCSW
CA
1041C0700X
Clinical Social Worker
Primary
7118299-3502 CSW
UT
1041C0700X
Clinical Social Worker
LCS22727
CA
106H00000X
Marriage & Family Therapist
0275 MFT
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7118299-3502 CSW
DOPL UTAH
UT
01
—
LCS22727
LCSW LICENSE
CA
01
—
LCSW 117-C
BOARD OF EXAMINERS OF SOCIAL WORKERS
NV
01
—
MFT 0275
BOARD OF EXAMINERS OF MFT
NV
Enumeration date
10/23/2006
Last updated
11/17/2009
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