Andrew Brown, MFTI

Individual provider Active NPI Marriage & Family Therapist · Spanish Fork, UT

NPI 1124326871 · NPPES record last updated Mar 4, 2011

Key facts

NPI
1124326871
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
607 Kirby LN
Spanish Fork, UT 84660-1368
Phone
(801) 852-3805
Fax
(801) 794-6684
NPI assigned
Mar 4, 2011
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

607 Kirby LN
Spanish Fork, UT 84660-1368

Mailing address

750 N 200 W Ste 300
Provo, UT 84601-1690
Phone (801) 373-4760

Other providers in Spanish Fork, UT

All providers in Spanish Fork, UT · Marriage & Family Therapist in Utah

Sources for this page

Verify at the official NPI Registry.