Provider Demographics
NPI:1114233376
Name:UHARRIET, JOE (MBA, PHD)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:UHARRIET
Suffix:
Gender:M
Credentials:MBA, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 741
Mailing Address - Street 2:
Mailing Address - City:PLEASANT GROVE
Mailing Address - State:UT
Mailing Address - Zip Code:84062-0741
Mailing Address - Country:US
Mailing Address - Phone:801-735-7532
Mailing Address - Fax:
Practice Address - Street 1:3912 WINTHROPE DR
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-5745
Practice Address - Country:US
Practice Address - Phone:801-676-9532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101Y00000XBehavioral Health & Social Service ProvidersCounselor