Provider Demographics
NPI:1851566897
Name:WEINHEIMER, BENJAMIN OVIATT (LMFT)
Entity Type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:OVIATT
Last Name:WEINHEIMER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 E 820 N
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84606-2037
Mailing Address - Country:US
Mailing Address - Phone:801-396-7187
Mailing Address - Fax:
Practice Address - Street 1:3507 N UNIVERSITY AVE STE 375A
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-4478
Practice Address - Country:US
Practice Address - Phone:801-396-7187
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6894395-3902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist