Provider Demographics
NPI:1083788111
Name:BRIGHAM YOUNG UNIVERSITY
Entity Type:Organization
Organization Name:BRIGHAM YOUNG UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR SCHOOL OF SOCIAL WORK
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-422-3211
Mailing Address - Street 1:522 W 40 N
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-5310
Mailing Address - Country:US
Mailing Address - Phone:801-607-5471
Mailing Address - Fax:
Practice Address - Street 1:522 W 40 N
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84057-5310
Practice Address - Country:US
Practice Address - Phone:801-607-5471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)