Jeffry Hale Larson in Provo - Marriage & Family Therapist
Jeffry Hale Larson - NPI 1780804872
Jeffry Hale Larson is a Marriage & Family Therapist in Provo, Utah. Jeffry Hale Larson practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jeffry Hale Larson is 1780804872. The last update date is 2007-07-08.
Jeffry Hale Larson's current location address is 274 Tlrb, Provo, Utah. You can contact this provider via phone number 8014222344. The mailing address for Jeffry Hale Larson is 274 Tlrb, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffry Hale Larson |
|---|---|
| Address | 274 Tlrb, Provo, Utah |
| Phone Number | 8014222344 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1780804872 |
|---|---|
| Provider Enumeration Date | 2007-04-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 274 Tlrb |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 84602 |
| Phone Number | 8014222344 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 115953-3902 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique 10-digit identification code issued to Jeffry Hale Larson by the Centers for Medicare & Medicaid Services?
The Jeffry Hale Larson has been assigned the NPI (National Provider Identifier) 1780804872 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jeffry Hale Larson's facilities are geographically located?
The facilities of Jeffry Hale Larson are physically situated at the following location: 274 Tlrb, Provo, UT, 84602.
What is Jeffry Hale Larson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffry Hale Larson's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780804872 to Jeffry Hale Larson?
The Centers for Medicare & Medicaid Services originally issued the 1780804872 to Jeffry Hale Larson on 2007-04-30.
As of what date were the details pertaining to Jeffry Hale Larson last refreshed?
The information related to the Jeffry Hale Larson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY