Bryce William Barker
Individual provider Active NPI Marriage & Family Therapist · Provo, UT
NPI 1922593995 · NPPES record last updated Jun 13, 2024
Key facts
- NPI
- 1922593995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 11301854-3902 (UT)
- Practice address
- 4801 N University Ave Ste 2
Provo, UT 84604-5337 - Phone
- (385) 450-5981
- NPI assigned
- Jun 22, 2018
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11301854-3902 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sela Health, PLLC | Marriage & Family Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 11301854-3902 | UT | Yes |
Addresses
Primary practice location
4801 N University Ave Ste 2
Provo, UT 84604-5337
Mailing address
648 W 1950 S
Lehi, UT 84043-9807
Phone (385) 450-5981
Other providers in Provo, UT
- Corey Barger
- Connor Barham
- Shannon Mary Barham
- Amber Dawn Barker
- Brady Paul Barker
- Jillian G Barker
- Jordan P Barker
- Katherine Barker
- Kimberly Robin Barker
- Laura Barker
All providers in Provo, 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 13, 2024. 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.