Harley, Paul David

Harley, Paul David is an sole proprietor health care provider with primary practice located at 807 E South Temple Ste 370 , Salt Lake City UT 84102-1351. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Harley, Paul David can be contacted via phone (801) 521-0182.

Contact Information

Primary practice address
807 E South Temple Ste 370 Salt Lake City UT 84102-1351
Phone: (801) 521-0182
Fax: (801) 521-0196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS22727 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 22727 LCSW California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 117-C LCSW Nevada
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0275 MFT Nevada
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7118299-3502 CSW Utah

Profile Details

NPI number 1063595098
LBN Legal business name Harley, Paul David
Credentials MSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Nov 17th, 2009 - about 17 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 1063595098 NPPES
Utah Other 7118299-3502 CSW DOPL UTAH
Utah Other LCS22727 DOPL UTAH
Utah Other LCSW 117-C DOPL UTAH
Utah Other MFT 0275 DOPL UTAH

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