Provider Demographics
NPI:1073812962
Name:BARLOW, SYNTHIA (LPC)
Entity Type:Individual
Prefix:
First Name:SYNTHIA
Middle Name:
Last Name:BARLOW
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 S 500 E
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-7124
Mailing Address - Country:US
Mailing Address - Phone:801-400-8180
Mailing Address - Fax:
Practice Address - Street 1:995 S 500 E
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-7124
Practice Address - Country:US
Practice Address - Phone:801-400-8180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5602311-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health