Healthcare Provider Details

I. General information

NPI: 1750794715
Provider Name (Legal Business Name): CLAIRE REMUND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2014
Last Update Date: 10/17/2023
Certification Date: 10/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 N 300 E
AMERICAN FORK UT
84003-1883
US

IV. Provider business mailing address

702 S CANYON DR
SPRINGVILLE UT
84663-2900
US

V. Phone/Fax

Practice location:
  • Phone: 801-318-4721
  • Fax:
Mailing address:
  • Phone: 801-706-2309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: