Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON BACK
ActiveMarriage & Family Therapist · PROVO, UT
Registration Details
- NPI Number
- 1497179493
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 11, 2014 (12.223410911011 yrs)
- Last Updated
- Nov 17, 2016
Practice Information
- Address
-
750 N FREEDOM BLVDPROVO, UT, 846011677Browse UT providers · Browse ZIP 84601
- Phone
- 8013734760
- Fax
- 8013730639
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| BRYANT DEVAUGHN JENKS | MFT | 1548363864 |
| SAMUEL L ASHTON | MFTI | 1144321779 |
| DR. LANAE VALENTINE | — | 1467525782 |
| DR. JAMES MITCHELL HARPER | PH.D. PSYCHOLOGY | 1871668665 |
| MR. TIMOTHY JOHN CREGOR | LMFT | 1003982778 |
| DR. SHAYNE ANDERSON | PH.D. | 1023234713 |
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.