Provider Demographics
NPI:1649221771
Name:DAYBELL-TOPHAM, JAMIE LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LYNN
Last Name:DAYBELL-TOPHAM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LYNN
Other - Last Name:DAYBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1333 W BLUE QUILL DR
Mailing Address - Street 2:
Mailing Address - City:BLUFFDALE
Mailing Address - State:UT
Mailing Address - Zip Code:84065-2139
Mailing Address - Country:US
Mailing Address - Phone:801-419-5199
Mailing Address - Fax:
Practice Address - Street 1:11075 S STATE ST STE 32B
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-5181
Practice Address - Country:US
Practice Address - Phone:801-419-5199
Practice Address - Fax:866-730-6507
Is Sole Proprietor?:No
Enumeration Date:2006-05-13
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5948020-3502104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker