Individual
DR. JEREMY COTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.C.S.W.
Contact information
Practice address
1350 E 750 N, OREM, UT 84097-4345
(801) 836-4605
Mailing address
1768 S 1440 E, SPANISH FORK, UT 84660-3523
(801) 836-4605
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
32527
TX
1041C0700X
Clinical Social Worker
Primary
7765390-3501
UT
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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