Provider Demographics
NPI:1518536572
Name:POWNER, JOSHUA DENTON (MS)
Entity type:Individual
Prefix:MR
First Name:JOSHUA
Middle Name:DENTON
Last Name:POWNER
Suffix:
Gender:M
Credentials:MS
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 622
Mailing Address - Street 2:
Mailing Address - City:SPANISH FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84660-0622
Mailing Address - Country:US
Mailing Address - Phone:801-382-9455
Mailing Address - Fax:
Practice Address - Street 1:1429 S 550 E STE 240
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84097-7795
Practice Address - Country:US
Practice Address - Phone:801-382-9455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11942039-3904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist