MRS. MARY ELIZABETH FEDO NPI 1124314711

NPI Information

  • NPI: 1124314711
  • Provider Name: MRS. MARY ELIZABETH FEDO
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 344 E 100 S
    STE 301
    SALT LAKE CITY, UT
    ZIP 84111
  • Phone: (801) 922-4257

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NPI Details

MRS. Mary Elizabeth Fedo is a counselor in Salt Lake City, UT. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Mary Elizabeth Fedo NPI is 1124314711. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

344 E 100 S
STE 301
SALT LAKE CITY, UT
ZIP 84111-700
Phone: (801) 922-4257

The enumeration date for this NPI number is 6/22/2011 and was last updated on 6/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18019530186MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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