IndividualActive
Bradyn Hattendorf
NPI 1841169760 · Clinical Social Worker · Ephraim, UT
Provider details
- NPI number
- 1841169760
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 14243812-3502 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
271 S Main St
Ephraim, UT 84627-1313
Phone: (435) 283-4690
Approximate (ZIP-level) locationGet directions
Mailing address
271 S Main St
Ephraim, UT 84627-1313
Registry dates
- Enumerated
- 2025-10-30
- Last updated
- 2025-10-30
- Certified
- 2025-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.