MRS. ALICE FERN WYNN MA
NPI 1346574910
Counselor - Professional in Bountiful, UT
Active since September 29, 2009
70 N MAIN ST, SUITE 103, BOUNTIFUL, UT 84010(801) 298-5222(801) 294-0295 Get Directions Write a Review
About Mrs. Alice Fern Wynn Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. ALICE FERN WYNN MA (NPI 1346574910) is an individual professional provider in Bountiful, Utah, licensed in Utah (6497798-6004) and active in the NPI registry since September 2009.
NPPES Registry Identity
NPI1346574910
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ALICE FERN WYNNCredential: MA
Location Address70 N MAIN ST, SUITE 103Bountiful, UT 84010-6101
Mailing Address1033 S Millbrook WayBountiful, UT 84010-2056 · (801) 243-0539
Phone(801) 298-5222
Fax(801) 294-0295
Sole ProprietorYes
Enumeration DateSeptember 29, 2009
✔ NPI 1346574910 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in UT · 6497798-6004
70 N MAIN ST, Bountiful, UT 84010
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Optometrist (Corneal and Contact Management)
70 N MAIN ST, SUITE 102
BOUNTIFUL, UT 84010
BOUNTIFUL, UT 84010
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346574910, enumerated as an "individual" on September 29, 2009.
The provider is located at 70 N MAIN ST SUITE 103 BOUNTIFUL, UT 84010 and the phone number is (801) 298-5222.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
