Gough, Justin Dean

Gough, Justin Dean is an sole proprietor health care provider with primary practice located at 2904 Midwest Dr , Taylorsville UT 84129-2555. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gough, Justin Dean can be contacted via phone (801) 963-0783.

Contact Information

Primary practice address
2904 Midwest Dr Taylorsville UT 84129-2555
Phone: (801) 963-0783
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 289038-6004 Utah

Profile Details

NPI number 1578825519
LBN Legal business name Gough, Justin Dean
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2012
Last updated Jun 14th, 2012 - about 14 years 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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