Brent E Crane
Individual provider Active NPI Marriage & Family Therapist · Roosevelt, UT
NPI 1407175151 · NPPES record last updated May 20, 2010
Key facts
- NPI
- 1407175151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 5206563-3902 (UT)
- Practice address
- RR 1 Box 1548
Roosevelt, UT 84066-9738 - Phone
- (435) 722-5656
- NPI assigned
- May 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5206563-3902 | UT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 5206563-3902 | UT | Yes |
Addresses
Primary practice location
RR 1 Box 1548
Roosevelt, UT 84066-9738
Mailing address
RR 1 Box 1548
Roosevelt, UT 84066-9738
Phone (435) 722-5656
Other providers in Roosevelt, UT
- Mark Chamberlain
- Cory Alan Christensen
- Kathryn Olsen Cockerham
- Daniel Evan Colver
- County of Duchesne
- Crna Coverage, Inc
- Custom Medical Services
- Crispin Dalsing
- Rochelle L Danley
- William Scott Danley
All providers in Roosevelt, 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 May 20, 2010. 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.