Temple, Grace Mackenzie

Temple, Grace Mackenzie is an individual health care provider with primary practice located at 606 W 1720 N Apt 206 , Provo UT 84604-2476. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Temple, Grace Mackenzie can be contacted via phone (847) 826-3883.

Contact Information

Primary practice address
606 W 1720 N Apt 206 Provo UT 84604-2476
Phone: (847) 826-3883
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 40938791 Texas

Profile Details

NPI number 1720686074
LBN Legal business name Temple, Grace Mackenzie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2020
Last updated Oct 9th, 2020 - about 5 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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