Brent Black
Brent Black is a Marriage & Family Therapist in Provo, Utah. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
750 N 200 EProvo, UT 84606-1705
Phone: (435) 459-1526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X |
|---|
Record details
| NPI number | 1679825756 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 12, 2012 |
| Last updated in NPPES | October 12, 2012 |
| Mailing address | 750 N 200 E, Provo, UT 84606-1705 |
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