MS. Bethany Whitehead, CCM

NPI #1952635005 in Provo, Utah

Provider Information

NPI Number: 1952635005
Entity Type: Individual
Name: MS. Bethany Whitehead, CCM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Credential: CCM
Enumeration Date: Sep 22, 2009
Last Updated: Sep 22, 2009

Practice Location

Address: 1161 E 300 N
City: Provo
State: Utah
ZIP Code: 84606-3539
Phone: (801) 373-4765

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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