Larson, Jeffry Hale

Larson, Jeffry Hale is an sole proprietor health care provider with primary practice located at 1190 N. 900 E. Room 274, Provo UT 84602. 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. Larson, Jeffry Hale can be contacted via phone (801) 422-2344.

Contact Information

Primary practice address
1190 N. 900 E. Room 274 Provo UT 84602
Phone: (801) 422-2344
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 115953-3902 Utah

Profile Details

NPI number 1780804872
LBN Legal business name Larson, Jeffry Hale
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2007
Last updated Jul 8th, 2007 - 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.

Request for update

Popular Providers