NPI 1245359249 · live from the CMS NPI Registry
Spencer James Allen, LCSW
Social Worker, Clinical in Provo, UT. National Provider Identifier 1245359249, active.
NPI record
| NPI | 1245359249 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1034 N 500 W, Provo, UT 84604 |
| Practice phone | 801-228-1650 |
| Enumerated | March 29, 2007 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 4955072-3501 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.