Lundberg, Gary Barlow
Lundberg, Gary Barlow is an sole proprietor health care provider with primary practice located at 3680 Little Rock Dr , Provo UT 84604-5261. 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. Lundberg, Gary Barlow can be contacted via phone (801) 224-3447.Contact Information
Primary practice address
3680 Little Rock Dr
Provo UT 84604-5261
Phone: (801) 224-3447
Fax: (800) 122-4345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 115477-3902 | Utah |
Profile Details
| NPI number | 1063628485 |
|---|---|
| LBN Legal business name | Lundberg, Gary Barlow |
| Credentials | M.A. - LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 15th, 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.
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