Blake Denver Altom, M.S., MFT INTERN
Foster Care Agency · Logan, UT
Practice location
242 Rosewood CirLogan, UT 84321-5045
- Phone
- (435) 512-1304
NPI record
- NPI
- 1255657201
- Entity type
- Individual (Type 1)
- Enumeration date
- April 15, 2010
- Last updated
- April 15, 2010
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Foster Care Agency Primary | 253J00000X |
— | — |
| Marriage & Family Therapist | 106H00000X |
7195889-3904 | UT |
About Blake Altom
Blake Denver Altom, M.S., MFT INTERN is a healthcare provider registered in the NPI registry with the primary taxonomy Foster Care Agency (code 253J00000X). The practice location is 242 Rosewood Cir, Logan, UT 84321-5045. The NPI number 1255657201 was assigned on April 15, 2010 and the record was last updated on April 15, 2010.
Blake Altom lists a license in the registry: #7195889-3904 (UT) for Marriage & Family Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Blake Denver Altom, M.S., MFT INTERN?
The NPI number is 1255657201.
What is the phone number of Blake Altom?
The phone number listed for the practice location is (435) 512-1304.
Where is Blake Altom located?
242 Rosewood Cir, Logan, UT 84321-5045.
What is the taxonomy code for Blake Altom?
The primary taxonomy code is 253J00000X – Foster Care Agency; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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