| Gumtree Therapy | |
|
1 E Center St Ste 300 Provo UT 84606-3154 | |
| (801) 332-9660 | |
| Not Available |
| Full Name | Gumtree Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1 E Center St Ste 300, Provo, Utah |
| Authorized Official Name and Position | Samuel Ryland (PARTNER) |
| Authorized Official Contact | 8012280606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gumtree Therapy 1356 S 2770 E Spanish Fork UT 84660-9403 Ph: (801) 228-0606 | Gumtree Therapy 1 E Center St Ste 300 Provo UT 84606-3154 Ph: (801) 332-9660 |
| NPI Number | 1801549050 |
|---|---|
| Provider Enumeration Date | 01/28/2022 |
| Last Update Date | 12/09/2022 |
| Certification Date | 12/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801549050 | NPI | - | NPPES |
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