Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN EASTON BLACK
ActiveSUSAN EASTON BLACK is a Professional Counselor healthcare provider located in PROVO, Utah. NPI 1003175183 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · PROVO, UT
Registration Details
- NPI Number
- 1003175183
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 10, 2012 (14.218569815669 yrs)
- Last Updated
- May 10, 2012
- License
-
8133414-2504 (UT)
Practice Information
- Address
-
1190 N 900 EPROVO, UT, 846043536Browse UT providers · Browse ZIP 84604
- Phone
- 8014227620
- Fax
- 8014220165
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| ANICK E B MALMSTROM | LPC | 1063524205 |
| NICOLE FISHER | SSW | 1417068321 |
| TAMERA NICOLE WITHERS | SSW | 1669573994 |
| DIANE DAWN DOPP | SSW | 1427140748 |
| SUSAN REYNOLDS | LPC | 1982751301 |
| SHAWN C EDGINGTON | PH.D. | 1457498271 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.