Healthcare Provider Details

I. General information

NPI: 1780086660
Provider Name (Legal Business Name): CHRISTOHPER S BEZZANT MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2014
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 W ELECTION RD STE 140
DRAPER UT
84020-7761
US

IV. Provider business mailing address

588 W MEADOW CREST WAY
SARATOGA SPRINGS UT
84045-5355
US

V. Phone/Fax

Practice location:
  • Phone: 801-696-3777
  • Fax: 385-208-4573
Mailing address:
  • Phone: 208-970-9087
  • Fax: 385-208-4573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: