Brandon Back Valid NPI
Individual provider · Marriage & Family Therapist · Provo, UT
- NPI
- 1497179493
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-02-11
- Last updated
- 2016-11-17
Practice location
750 N Freedom Blvd
Provo, UT 84601-1677
(801) 373-4760