| Susan Middleton Phd Lcsw Consulting | |
|
1059 N 700 E Lehi UT 84043-1327 | |
| (801) 473-4989 | |
| Not Available |
| Full Name | Susan Middleton Phd Lcsw Consulting |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1059 N 700 E, Lehi, Utah |
| Authorized Official Name and Position | Susan G Middleton (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8014734989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Middleton Phd Lcsw Consulting 1059 N 700 E Lehi UT 84043-1327 Ph: (801) 473-4989 | Susan Middleton Phd Lcsw Consulting 1059 N 700 E Lehi UT 84043-1327 Ph: (801) 473-4989 |
| NPI Number | 1841762994 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 12/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841762994 | NPI | - | NPPES |
| 139789-3501 | Other | UT | LICENSED CLINICAL SOCIAL WORKER |
| 11008402-0162 | Other | UT | CERTIFICATE OF REGISTRATION LLC - PROFESSIONAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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