IndividualActive
Adam Moore, PH.D., LMFT
NPI 1811281678 · Marriage & Family Therapist · Provo, UT
Provider details
- NPI number
- 1811281678
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Credential
- PH.D., LMFT
- Sex
- Male
- Sole proprietor
- No
- License
- 6746325-3902 (UT)
Practice location
4626 N 300 W Ste 150
Provo, UT 84604-6077
Phone: (801) 407-4134
Fax: (801) 877-0864
Mailing address
4626 N 300 W Ste 150
Provo, UT 84604-6077
Registry dates
- Enumerated
- 2011-06-08
- Last updated
- 2021-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.