Benjamin Barret Haslam, | |
1055 E Sr 9, Virgin, UT 84779-5025 | |
(435) 619-4170 | |
Not Available |
Full Name | Benjamin Barret Haslam |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1055 E Sr 9, Virgin, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659914406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 10444176-3902 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
Benjamin Barret Haslam, 736 S 180 W, Hurricane, UT 84737-2317 Ph: (435) 619-4170 | Benjamin Barret Haslam, 1055 E Sr 9, Virgin, UT 84779-5025 Ph: (435) 619-4170 |
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