| Suzanne L Dastrup | |
|
831 N 1420 E Orem UT 84097-5484 | |
| (801) 222-0908 | |
| Not Available |
| Full Name | Suzanne L Dastrup |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 831 N 1420 E, Orem, Utah |
| Authorized Official Name and Position | Suzanne Dastrup (LMFT) |
| Authorized Official Contact | 8012220908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne L Dastrup 831 N 1420 E Orem UT 84097-5484 Ph: (801) 222-0908 | Suzanne L Dastrup 831 N 1420 E Orem UT 84097-5484 Ph: (801) 222-0908 |
| NPI Number | 1205592110 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 11/15/2021 |
| Certification Date | 11/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205592110 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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