Fordham, Bruce K.
Fordham, Bruce K. is an sole proprietor health care provider with primary practice located at 3051 W Maple Loop Dr Ste 210 , Lehi UT 84043-4602. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Fordham, Bruce K. can be contacted via phone (801) 872-5516.Contact Information
Primary practice address
3051 W Maple Loop Dr Ste 210
Lehi UT 84043-4602
Phone: (801) 872-5516
Fax: (801) 872-5516
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 140784-6004 | Utah |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 140784-6004 | Utah |
Profile Details
| NPI number | 1326267311 |
|---|---|
| LBN Legal business name | Fordham, Bruce K. |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Apr 12th, 2023 - about 2 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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