Organization · Type 2 NPI
Pure Life PTG
Addiction (Substance Use Disorder) Psychologist · Sandy, UT
Practice location
7390 S Creek Rd Ste 202
Sandy, UT 84093-6123
Mailing address
14218 S Canyon Vine Cv
Draper, UT 84020-5631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Psychologist Primary | 103TA0400X | None listed |
Addiction (Substance Use Disorder) Psychologist: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…
About NPI 1003323767
Pure Life PTG's National Provider Identifier is 1003323767, issued on Jan 3, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Sandy, UT. The record was last updated on Jan 3, 2018.