IndividualActive
Benjamin Haslam
NPI 1659914406 · Marriage & Family Therapist · Virgin, UT
Provider details
- NPI number
- 1659914406
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10444176-3902 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1055 E Sr 9
Virgin, UT 84779-5025
Phone: (435) 619-4170
Approximate (ZIP-level) locationGet directions
Mailing address
736 S 180 W
Hurricane, UT 84737-2317
Registry dates
- Enumerated
- 2019-10-24
- Last updated
- 2019-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.