NPI 1013054824

Scott D Owen, PHD

Practitioner Professional Counselor Provo, UT

Practice location

Address: 3651 N 100 E STE 100, Provo, UT 84604-4598
Phone: (801) 356-0014
Fax: (801) 373-3655

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 338201-6004 (UT)

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Registry record

NPI: 1013054824
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.