Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Thomas Evan Mullaly, PSS

Individual provider Peer Specialist · NPI 1669983417

Thomas Evan Mullaly, PSS is a Peer Specialist in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017

Practice location Address checks out

411 N Grant St
Salt Lake City, UT 84116-2725
Phone: (801) 359-8862
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 796 (UT)

Record details

NPI number1669983417
Entity typeIndividual (Type 1)
GenderMale
Credentials PSS
Sole proprietorNo
NPI enumeratedOctober 19, 2017
Last updated in NPPESOctober 19, 2017

Other providers in Salt Lake City