| Systems-based Therapy, Pllc | |
|
550 N Main St Ste 200 Logan UT 84321-3986 | |
| (801) 450-6936 | |
| Not Available |
| Full Name | Systems-based Therapy, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 550 N Main St Ste 200, Logan, Utah |
| Authorized Official Name and Position | Spencer Drage Bradshaw (OWNER) |
| Authorized Official Contact | 8014506936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Systems-based Therapy, Pllc 872 Orchard Dr River Heights UT 84321-5643 Ph: (801) 450-6936 | Systems-based Therapy, Pllc 550 N Main St Ste 200 Logan UT 84321-3986 Ph: (801) 450-6936 |
| NPI Number | 1477366904 |
|---|---|
| Provider Enumeration Date | 01/29/2025 |
| Last Update Date | 01/29/2025 |
| Certification Date | 01/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477366904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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