Provider Demographics
NPI:1245299049
Name:BEGAY, TERRY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:
Last Name:BEGAY
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 1:2880 W. 4700 S.
Mailing Address - Street 2:SUITE A
Mailing Address - City:WEST VALLEY
Mailing Address - State:UT
Mailing Address - Zip Code:84118
Mailing Address - Country:US
Mailing Address - Phone:801-964-2465
Mailing Address - Fax:801-964-9075
Practice Address - Street 1:2880 W 4700 S
Practice Address - Street 2:SUITE A
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84118-2156
Practice Address - Country:US
Practice Address - Phone:801-964-2465
Practice Address - Fax:801-964-9075
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT374498-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical