Individual
SHARON LEWIS BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
433 SOUTH 500 EAST, AMERICAN FORK, UT 84003-2527
(180) 121-6800
(801) 216-8001
Mailing address
4379 MILE HIGH DR., PROVO, UT 84604-6308
(180) 143-4431
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
6212924-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6212924-3902
LICENSED MFT
UT
Enumeration date
04/12/2007
Last updated
07/08/2007
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