Doctor Name: | MR. NEVIN GORDON ALDERMAN |
NPI Number: | 1013143668 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CMHC |
License Number: | 6683460-6009 |
Business Practice Address: | 815 W 450 S Ste 110 Springville, UT - 846632200 |
Business Phone Number: | 8014774084 |
Business Fax Number: | |
Mailing Address: | 697 W 725 S, SPRINGVILLE |
State: | UT |
Postal Code: | 846635973 |
Phone Number: | 8013804389 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2009 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6683460-6009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |