Provider Demographics
NPI:1750341871
Name:SPALLINO, JOSEPH AARON (LMFT)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:AARON
Last Name:SPALLINO
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 1:9446 LIBERTY RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-9600
Mailing Address - Country:US
Mailing Address - Phone:801-280-6228
Mailing Address - Fax:
Practice Address - Street 1:8184 HIGHLAND DR
Practice Address - Street 2:C-8
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093-6477
Practice Address - Country:US
Practice Address - Phone:801-944-1666
Practice Address - Fax:801-944-1696
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT51390923902106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist