Individual provider · Type 1 NPI

Thomas Evan Mullaly, PSS

Peer Specialist · Salt Lake City, UT

NPI number 1669983417 Active

Practice location

411 N Grant St
Salt Lake City, UT 84116-2725

Call (801) 359-8862 Map

Mailing address

659 E 800 S Apt B5
Salt Lake City, UT 84102-3539

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X796 (UT)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1669983417

Thomas Evan Mullaly, PSS's National Provider Identifier is 1669983417, issued on Oct 19, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 19, 2017.