Provider Demographics
NPI:1205524360
Name:OSTLER, HANNAH (LCSW)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:OSTLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1789 E SKYLINE DR UNIT H6
Mailing Address - Street 2:
Mailing Address - City:EAGLE MOUNTAIN
Mailing Address - State:UT
Mailing Address - Zip Code:84005-6541
Mailing Address - Country:US
Mailing Address - Phone:801-420-5483
Mailing Address - Fax:
Practice Address - Street 1:1399 S 700 E STE 12
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84105-2168
Practice Address - Country:US
Practice Address - Phone:385-262-4048
Practice Address - Fax:801-303-7319
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-26
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12288156-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical