Individual
DR. JEREMY SCOTT BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, LMFT
Contact information
Practice address
9055 S 1300 E STE 12, SANDY, UT 84094
(801) 657-5312
(385) 250-2143
Mailing address
9055 S 1300 E STE 12, SANDY, UT 84094-3190
(801) 657-5312
(801) 653-9663
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10382604-3902
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200592530A
—
KS
Enumeration date
01/23/2009
Last updated
06/14/2019
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