Provider Demographics
NPI:1962866939
Name:TOPHAM, TORILYN BLANCHE (CMHC)
Entity Type:Individual
Prefix:
First Name:TORILYN
Middle Name:BLANCHE
Last Name:TOPHAM
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 N 1550 W
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-4136
Mailing Address - Country:US
Mailing Address - Phone:435-867-8168
Mailing Address - Fax:
Practice Address - Street 1:444 S MAIN ST STE A4
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-3432
Practice Address - Country:US
Practice Address - Phone:435-592-3445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
UT10144851-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health