Beecher, Blake

Beecher, Blake is an individual health care provider with primary practice located at 1020 S Main St Suite 300, Salt Lake City UT 84101-3176. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Beecher, Blake can be contacted via phone (801) 536-6500.

Contact Information

Primary practice address
1020 S Main St Suite 300 Salt Lake City UT 84101-3176
Phone: (801) 536-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 349081-3501 Utah

Profile Details

NPI number 1710966437
LBN Legal business name Beecher, Blake
Credentials PHD.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710966437 NPPES
Utah Other 682027 DESERET MUTUAL
Utah Other 107003582101 DESERET MUTUAL

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