Black, Heather
Black, Heather is an sole proprietor health care provider with primary practice located at 500 Foothill Dr , Salt Lake City UT 84148-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Black, Heather can be contacted via phone (801) 852-1565.Contact Information
Primary practice address
500 Foothill Dr
Salt Lake City UT 84148-0001
Phone: (801) 852-1565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 9247682-2501 | Utah |
Profile Details
| NPI number | 1255726394 |
|---|---|
| LBN Legal business name | Black, Heather |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2015 |
| Last updated | Apr 6th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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