Provider Demographics
NPI:1770624819
Name:MCFARLANE, DELVIN P (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:DELVIN
Middle Name:P
Last Name:MCFARLANE
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 E 3000 S
Mailing Address - Street 2:
Mailing Address - City:PRICE
Mailing Address - State:UT
Mailing Address - Zip Code:84501-4531
Mailing Address - Country:US
Mailing Address - Phone:435-637-3080
Mailing Address - Fax:435-637-7266
Practice Address - Street 1:446 E 3000 S
Practice Address - Street 2:
Practice Address - City:PRICE
Practice Address - State:UT
Practice Address - Zip Code:84501-4531
Practice Address - Country:US
Practice Address - Phone:435-637-3080
Practice Address - Fax:435-637-7266
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1093533501101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health