Organization · Type 2 NPI

University of Utah Pediatric Behavioral Health Services

Adolescent and Children Mental Health Clinic/Center · Salt Lake City, UT

NPI number 1033573191 Active

Practice location

501 S Chipeta Way
Salt Lake City, UT 84108-1222

Mailing address

PO Box 413021
Salt Lake City, UT 84141-3021

Specialties and licenses

TaxonomyCodeLicense
Neuromuscular Medicine (Psychiatry & Neurology) Physician 2084N0008XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center Primary 261QM0855XNone listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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About NPI 1033573191

University of Utah Pediatric Behavioral Health Services's National Provider Identifier is 1033573191, issued on Apr 5, 2016. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 6, 2016.