Sanford, Carl Barry

Sanford, Carl Barry is an individual health care provider with primary practice located at 750 N Freedom Blvd , Provo UT 84601-1677. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Sanford, Carl Barry can be contacted via phone (801) 373-4760.

Contact Information

Primary practice address
750 N Freedom Blvd Provo UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5705314-6004 Utah
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5705314-6004 Utah

Profile Details

NPI number 1457654873
LBN Legal business name Sanford, Carl Barry
Credentials M.A., CMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2010
Last updated Apr 27th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1457654873 NPPES
Utah MEDICAID 1REDSOX

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