Search › Utah › 1041C0700X
Suezan Johnson, LCSW
NPI 1770513962 · on the registry since 2006
Practice
- Address
- 1515 N 400 E Ste 104
North Logan, UT 84341 - Phone
- (435) 755-6061
- Fax
- (435) 755-6091
- Organisation at this address
- Health West, Inc.
Health West, Inc.
Health West, Inc.
Valley Obstetrics And Gynecology, Pc
Bear Lake Community Health Center, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 325 W Logan Rd, Garden City, UT
- 120 S Main St, Randolph, UT
- 517 W 100 N Ste 110, Providence, UT
- 152 S 4th St, Montpelier, ID
- 5 W 200 N, Brigham City, UT
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
104100000X
1041C0700X - Licence states on file
- UT, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-16
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