LAURA LYNN BOBERG SUDC NPI 1134723505

NPI Information

  • NPI: 1134723505
  • Provider Name: LAURA LYNN BOBERG, SUDC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 222 W 540 N
    OREM, UT
    ZIP 84057
  • Phone: (801) 661-7007

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NPI Details

Laura Lynn Boberg, SUDC is an addiction (substance use disorder) counselor in Orem, UT. Laura Lynn Boberg, SUDC NPI is 1134723505. 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:

222 W 540 N
OREM, UT
ZIP 84057-631
Phone: (801) 661-7007

The enumeration date for this NPI number is 11/25/2020 and was last updated on 11/25/2020.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)6855070-6006UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
114997547OTHERCAQH

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: 3/30/2025

NPI Synchronization or Removal

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