SearchUtah1041C0700X

Kirt Wise, LCSW

NPI 1215182795 · on the registry since 2008

Practice

Address
387 E 450 S
Clearfield, UT 84015
Phone
(801) 635-5022
Fax
(801) 773-9152
Organisation at this address
Youth Health Associates
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-04-22

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