Provider Demographics
NPI:1982939856
Name:SNARR, TAMBER LAYNE (LCSW)
Entity Type:Individual
Prefix:
First Name:TAMBER
Middle Name:LAYNE
Last Name:SNARR
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 1:3191 S 3300 E
Mailing Address - Street 2:SUITE 230
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84109-4274
Mailing Address - Country:US
Mailing Address - Phone:801-637-3437
Mailing Address - Fax:
Practice Address - Street 1:3191 S 3300 E
Practice Address - Street 2:SUITE 230
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84109-4274
Practice Address - Country:US
Practice Address - Phone:801-637-3437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-12
Last Update Date:2009-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4984052-3501172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker