Provider Demographics
NPI:1285822213
Name:CUTLER, AMANDA LEANN MCPHERSON (LCSW)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:LEANN MCPHERSON
Last Name:CUTLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:AMANDA
Other - Middle Name:LEANN
Other - Last Name:MCPHERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:1336 S 1100 E STE 100
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84105-2421
Mailing Address - Country:US
Mailing Address - Phone:208-918-1199
Mailing Address - Fax:
Practice Address - Street 1:1336 S 1100 E STE 100
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84105-2421
Practice Address - Country:US
Practice Address - Phone:208-918-1199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT10458774-35011041C0700X
IDLCSW-333601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical