Provider Demographics
NPI:1861612715
Name:STRONG, DEENA D (PHD)
Entity type:Individual
Prefix:DR
First Name:DEENA
Middle Name:D
Last Name:STRONG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 E 4500 S
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOLLADAY
Mailing Address - State:UT
Mailing Address - Zip Code:84117-4437
Mailing Address - Country:US
Mailing Address - Phone:801-870-8188
Mailing Address - Fax:
Practice Address - Street 1:2200 E 4500 S
Practice Address - Street 2:SUITE 200
Practice Address - City:HOLLADAY
Practice Address - State:UT
Practice Address - Zip Code:84117-4437
Practice Address - Country:US
Practice Address - Phone:801-870-8188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2011-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT295478-35011041C0700X
UT295478-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist