Boyle, Jeremy Scott

Boyle, Jeremy Scott is an individual health care provider with primary practice located at 9055 S 1300 E Ste 12 , Sandy UT 84094. 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. Boyle, Jeremy Scott can be contacted via phone (801) 657-5312.

Contact Information

Primary practice address
9055 S 1300 E Ste 12 Sandy UT 84094
Phone: (801) 657-5312
Fax: (385) 250-2143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 10382604-3902 Utah

Profile Details

NPI number 1225276611
LBN Legal business name Boyle, Jeremy Scott
Credentials PHD, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2009
Last updated Jun 14th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225276611 NPPES
Kansas MEDICAID 200592530A

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