Jeremiah Southworth

  • NPI 1104223593
According to our database, the NPI number for Jeremiah Southworth is 1104223593 and activated since 9 years ago. Jeremiah Southworth is an individual provider who specializes in Mental Health, and the primary practice location is 750 N Freedom Blvd, Provo, UT 84601. You can also contact Jeremiah Southworth via telephone number is (801) 373-4760. Provider NPI information was last updated on 05/07/2020.

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Overview of Jeremiah Southworth

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 12/01/2014
  • Last updated: 05/07/2020

Primary Scrop of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 750 N Freedom Blvd
    Provo, UT 84601
  • Phone: 801-373-4760
  • Fax: 801-373-0639

Provider Practice Location

  • Address: 750 N Freedom Blvd
    Provo, UT 84601
  • Phone: 801-373-4760
  • Fax: 801-373-0639

Scope of Practice

  • Taxonomy Code: 101YM0800X
  • Specialty: Mental Health
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jeremiah Southworth?
  • A: The npi number for Jeremiah Southworth is 1104223593.
  • Q: What are Jeremiah Southworth's specialties?
  • A: Jeremiah Southworth's specialties are Mental Health and different specialities.
  • Q: What is the medical license for Jeremiah Southworth?
  • A: The medical license number for Jeremiah Southworth is unknow and issued in unknow in USA.
  • Q: Where is Jeremiah Southworth practice location?
  • A: Jeremiah Southworth is practicing at 750 N Freedom Blvd, Provo, UT 84601.
  • Q: How to contact Jeremiah Southworth?
  • A: You can contact Jeremiah Southworth via 801-373-4760.