Individual
HEIDI RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
532 E 800 N, OREM, UT 84097-4146
(801) 885-7365
Mailing address
532 E 800 N, OREM, UT 84097-4146
(801) 885-7365
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12821941-3501
UT
1041C0700X
Clinical Social Worker
4171785
ID
Other
Enumeration date
08/21/2018
Last updated
03/19/2026
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