NPI 1063628485

Gary Barlow Lundberg, MALMFT

Practitioner Marriage & Family Therapist Provo, UT

Practice location

Address: 3680 Little Rock Dr, Provo, UT 84604-5261
Phone: (801) 224-3447
Fax: (800) 122-4345

Registered specialties

Marriage & Family Therapist Primary

Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 115477-3902 (UT)

Other Marriage & Family Therapist providers in Utah →

Registry record

NPI: 1063628485
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 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.