Provider Demographics
NPI:1720258726
Name:PLOWMAN, SUZANNE FARNSWORTH (PHD)
Entity type:Individual
Prefix:DR
First Name:SUZANNE
Middle Name:FARNSWORTH
Last Name:PLOWMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1683
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-6639
Mailing Address - Country:US
Mailing Address - Phone:801-669-8300
Mailing Address - Fax:
Practice Address - Street 1:3300 RUNNING CREEK WAY
Practice Address - Street 2:BLDG E, SUITE 105
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043-5563
Practice Address - Country:US
Practice Address - Phone:801-669-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7134184-2501103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical