Provider Demographics
NPI:1821310756
Name:ADAMSON, DARREN (PHD)
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:
Last Name:ADAMSON
Suffix:
Gender:M
Credentials: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 970235
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84097-0235
Mailing Address - Country:US
Mailing Address - Phone:801-426-5672
Mailing Address - Fax:801-221-4512
Practice Address - Street 1:375 RAINBOW LN
Practice Address - Street 2:
Practice Address - City:MIDWAY
Practice Address - State:UT
Practice Address - Zip Code:84049-7001
Practice Address - Country:US
Practice Address - Phone:801-426-5672
Practice Address - Fax:801-221-4512
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT116230-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist