Provider Demographics
NPI:1447365184
Name:TORPY, EILEEN LAWRENCE (LCSW)
Entity type:Individual
Prefix:
First Name:EILEEN
Middle Name:LAWRENCE
Last Name:TORPY
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 1:1233 E 6225 S
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84405-7123
Mailing Address - Country:US
Mailing Address - Phone:801-648-6751
Mailing Address - Fax:
Practice Address - Street 1:1233 E 6225 S
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84405-7123
Practice Address - Country:US
Practice Address - Phone:801-648-6751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6649424-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT11824046OtherCAQH