| Doctor Name: | SCOTT D OWEN |
| NPI Number: | 1013054824 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 338201-6004 |
| Business Practice Address: | 3651 N 100 E Ste 100 Provo, UT - 846044598 |
| Business Phone Number: | 8013560014 |
| Business Fax Number: | 8013733655 |
| Mailing Address: | 3651 N 100 E Ste 100, PROVO |
| State: | UT |
| Postal Code: | 846044598 |
| Phone Number: | 8013560014 |
| Fax Number: | 8013733655 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 338201-6004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |