Travis Corey Van Rum is a Clinical Social Worker in the LEHI area. Travis Corey Van Rum primary office location is at 130 W MAIN ST and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1043511827 and the information was updated approximately 15 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: NO
License Number | State |
---|---|
7722193-3502 | UT |
Type/Issuer | Identifier | State |
---|---|---|
MEDICAID | 1770721300 | UT |
Taxonomy | State | Primary? |
---|---|---|
Clinical Social Worker - Taxonomy Code 1041C0700X | UT | Y |