Individual
TODD IRVING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1875 S REDWOOD RD, SLC, UT 84104-5112
(801) 363-9414
Mailing address
435 W BEARCAT DR, SALT LAKE CITY, UT 84115-2519
(801) 355-2846
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/28/2019
Last updated
02/10/2025
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