Andrew J Amabile
Psychologist, School in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1144586413
StatusActive
Last updated in NPPESAug 8, 2023
Details
- NPI
- 1144586413
- Entity type
- Individual (NPI-1)
- Name
- Andrew J Amabile
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2012
- Certification date
- Aug 8, 2023
- Last updated
- Aug 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TS0200X | Psychologist, School | – | UT | Yes |
| 103T00000X | Psychologist | – | – | |
| 172V00000X | Community Health Worker | – | – |
Practice location
4460 S Highland DrSalt Lake City, UT 84124-3543
Phone 888-949-4864
Mailing address
4460 S Highland DrSalt Lake City, UT 84124-3543
Phone 888-949-4864
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