Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALOA BRIDGES
Active Sole ProprietorCounselor · PROVO, UT
Registration Details
- NPI Number
- 1912552720
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2019 (6.7375687378723 yrs)
- Last Updated
- Jun 1, 2020
- License
-
9326173-6009 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
750 N FREEDOM BLVDPROVO, UT, 846011677Browse UT providers · Browse ZIP 84601
- Phone
- 8013734760
- Fax
- 8013730639
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| DR. RUSSELL CLIFFORD GAEDE | PSY.D., LPC | 1225197759 |
| MARGARET VICTORIA GEILMAN | APRNI | 1861687394 |
| ELIZABETH HARWARD | — | 1174844336 |
| MR. TREVOR ROBISON | — | 1265743173 |
| CAMILLE HANSEN | — | 1023329968 |
| MR. JEREMY ALTON JENSON | — | 1275844698 |
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.