Blaisdell, Brent

Blaisdell, Brent is an individual health care provider with primary practice located at 4403 Harrison Blvd Suite A-700, Ogden UT 84403-3271. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Blaisdell, Brent can be contacted via phone (801) 387-5300.

Contact Information

Primary practice address
4403 Harrison Blvd Suite A-700 Ogden UT 84403-3271
Phone: (801) 387-5300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 273961-3902 Utah

Profile Details

NPI number 1528461241
LBN Legal business name Blaisdell, Brent
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2014
Last updated Feb 3rd, 2015 - about 11 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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