Individual
MERRILEE BUCHANAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1753 SIDEWINDER DR, PARK CITY, UT 84060-7258
(435) 649-8347
(435) 649-2157
Mailing address
1735 PHEASANT WAY, PARK CITY, UT 84098-5431
(435) 649-8133
(435) 649-2157
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3146783501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107004105101
INTERMOUNTAIN HEALTH CARE
UT
01
—
690947
DESERET MUTUAL
UT
01
—
942938348001
CHAMPUS
UT
Enumeration date
01/31/2006
Last updated
07/08/2007
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