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Contact Information

KATHRYN WINGARD, LCMHC, ATR-BC
940 E SOUTH UNION AVE
MIDVALE, UT84047-2302
 Phone: 385-346-0031
 Fax: 385-446-0973
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for KATHRYN WINGARD · (Female)

NPI Number 1851921381
Status Active
Credentials LCMHC, ATR-BC
Entity Individual
Enumeration date 01/23/2020
Last updated 05/22/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • License # 17-277
  • UT License # 10178806-6004
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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