SearchUtah101YA0400X

Charles Loosemore

NPI 1437616273 · on the registry since 2019 · sole proprietor

Practice

Address
934 S Main St
Layton, UT 84041
Phone
(801) 773-7060
Organisation at this address
Breaking Barriers Utah
Davis Behavioral Health
Davis Behavioral Health Inc
Davis Behavioral Health Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
974

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
175T00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-02-14

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