Susan Black

NPI 1003175183 · on the registry since 2012

Practice

Address: 1190 N 900 E
Provo, UT 84604
Phone: (801) 422-7620
Fax: (801) 422-0165
Organisation at this address: Lds Family Services
Olive View Therapy Llc
Byu Speech And Language Clinic
Barley Psychological Services Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 56

Registry record

Primary taxonomy: Professional Counselor
101YP2500X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-05-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah