Provider Demographics
NPI:1083178495
Name:ZEMP, SUMMER (ACMHC)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:ZEMP
Suffix:
Gender:F
Credentials:ACMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:538 HEATHER RD
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-2348
Mailing Address - Country:US
Mailing Address - Phone:801-440-9890
Mailing Address - Fax:
Practice Address - Street 1:3507 N UNIVERSITY AVE STE 350
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-6602
Practice Address - Country:US
Practice Address - Phone:801-440-9890
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-30
Last Update Date:2019-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4883787-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT4883787-6009OtherPROFESSIONAL STATE LICENCE