Provider Demographics
NPI:1841316593
Name:MCOMBER, ARIEN NICOLE (MA, MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:ARIEN
Middle Name:NICOLE
Last Name:MCOMBER
Suffix:
Gender:F
Credentials:MA, MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 E ATKIN AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-2234
Mailing Address - Country:US
Mailing Address - Phone:253-278-0813
Mailing Address - Fax:
Practice Address - Street 1:5121 S COTTONWOOD STREET
Practice Address - Street 2:IMC
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107
Practice Address - Country:US
Practice Address - Phone:801-807-7457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
UT7062414-4201225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1319744Medicaid
MA1319744OtherPARTNERSHIP, MBHP
MA000000008411OtherBMC
MA1001510OtherNHP
MA782170OtherNETWORK HEALTH
MA691470OtherTUFTS