DR. Jeremy Cottle, PH.D., L.C.S.W.

NPI #1831520535 in Orem, Utah

Provider Information

NPI Number: 1831520535
Entity Type: Individual
Name: DR. Jeremy Cottle, PH.D., L.C.S.W.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: PH.D., L.C.S.W.
Enumeration Date: Dec 5, 2013
Last Updated: Dec 5, 2013

Practice Location

Address: 1350 E 750 N
City: Orem
State: Utah
ZIP Code: 84097-4345
Phone: (801) 836-4605

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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