Tanner Moffat
Tanner Moffat is a Clinical Social Worker in Provo, Utah. Licensed in Utah. Registered with an NPI since 2024.
- Licensed in
- UT
- In the registry since
- 2024
Practice location Address checks out
3210 N Canyon Rd Ste 204Provo, UT 84604-5608
Phone: (385) 204-6273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 14006549-3502 (UT) |
|---|
Record details
| NPI number | 1205672227 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 9, 2024 |
| Last updated in NPPES | June 4, 2026 |
| Certification date | June 4, 2026 |
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