Organization · Type 2 NPI

Sideline Sport Psychology PLLC

Adult Mental Health Clinic/Center · Salt Lake City, UT

NPI number 1053133322 Active

Practice location

1336 S 1100 E
Salt Lake City, UT 84105-2421

Call (385) 899-2251 Map

Mailing address

4715 S Bron Breck St
Holladay, UT 84117-6403

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult 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 adults.

7 other providers at this address

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About NPI 1053133322

Sideline Sport Psychology PLLC's National Provider Identifier is 1053133322, issued on Oct 29, 2024. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 29, 2024.