SUSAN EASTON BLACK NPI 1003175183

NPI Information

NPI: 1003175183
Provider Name: SUSAN EASTON BLACK
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1190 N 900 E
PROVO, UT
ZIP 84604
Phone: (801) 422-7620
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Susan Easton Black is a professional counselor in Provo, UT. Susan Easton Black NPI is 1003175183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1190 N 900 E
PROVO, UT
ZIP 84604-536
Phone: (801) 422-7620
Fax: (801) 422-0165

The enumeration date for this NPI number is 5/10/2012 and was last updated on 5/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	8133414-2504	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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