Individual
BEN SPRINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
446 E 2010 S, HEBER CITY, UT 84032-4457
(801) 706-8861
Mailing address
446 E 2010 S, HEBER CITY, UT 84032-4457
(801) 706-8861
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
556010
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
556010
PROFESSIONAL EDUCATOR LICENSE
UT
Enumeration date
05/03/2012
Last updated
05/03/2012
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