Benjamin Leland Baldonado
Individual provider Active NPI Marriage & Family Therapist · Price, UT
NPI 1306286901 · NPPES record last updated Jun 27, 2013
Key facts
- NPI
- 1306286901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- Practice address
- 630 W Price River Dr
Price, UT 84501-2839 - Phone
- (435) 637-2991
- NPI assigned
- Jun 27, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Yes |
Addresses
Primary practice location
630 W Price River Dr
Price, UT 84501-2839
Mailing address
630 W Price River Dr
Price, UT 84501-2839
Phone (435) 637-2991
Other providers in Price, UT
- Elwin Atwood
- Patricia A Atwood
- Audrey Bergeson MD PLLC
- James Ivan Bailey
- Ryan Hanson Bailey
- Lori Ball
- Christinna Barnett
- John Barnett
- Barry P Cook OD PC
- Katherine Bateman
All providers in Price, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.