Reese, Neal Ray

Reese, Neal Ray is an individual health care provider with primary practice located at 750 N Freedom Blvd , Provo UT 84601-1677. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Reese, Neal Ray can be contacted via phone (801) 373-4760.

Contact Information

Primary practice address
750 N Freedom Blvd Provo UT 84601-1677
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 7558403-6009 Utah

Profile Details

NPI number 1740651504
LBN Legal business name Reese, Neal Ray
Credentials CMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2015
Last updated Oct 26th, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740651504 NPPES
Utah MEDICAID 876000308007
Utah Other 260022408

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