Alzheimers Disease And Related Disorders Association Utah Chapter
Psychologist, Group Psychotherapy in Salt Lake City, UT. Organization (NPI-2).
NPI number1235417684
StatusActive
Last updated in NPPESDec 6, 2012
Details
- NPI
- 1235417684
- Entity type
- Organization (NPI-2)
- Legal business name
- Alzheimers Disease And Related Disorders Association Utah Chapter
- Organization subpart
- No
- Enumeration date
- Aug 2, 2011
- Last updated
- Dec 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TP2701X | Psychologist, Group Psychotherapy | 0008208 | UT | Yes |
Practice location
855 E 4800 S Ste 100Salt Lake City, UT 84107-5513
Phone 801-265-1944
Mailing address
855 E 4800 S Ste 100Salt Lake City, UT 84107-5513
Phone 801-265-1944
Authorized official
Sylvia Brunisholz
Program Manager
8013470074
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