Provider Demographics
NPI:1932316692
Name:BARLOW, KEVIN N (LMFT)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:N
Last Name:BARLOW
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 1:186 N 450 W
Mailing Address - Street 2:
Mailing Address - City:HYRUM
Mailing Address - State:UT
Mailing Address - Zip Code:84319-1077
Mailing Address - Country:US
Mailing Address - Phone:435-512-1222
Mailing Address - Fax:
Practice Address - Street 1:186 N 450 W
Practice Address - Street 2:
Practice Address - City:HYRUM
Practice Address - State:UT
Practice Address - Zip Code:84319-1077
Practice Address - Country:US
Practice Address - Phone:435-512-1222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT363652-3902106H00000X, 253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No253J00000XAgenciesFoster Care Agency