Individual provider · Type 1 NPI

Douglas Gavin Kondo, MD

Child & Adolescent Psychiatry Physician · Salt Lake City, UT

NPI number 1083703284 Active

Practice location

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

Mailing address

PO Box 413076
Salt Lake City, UT 84141-3076

Specialties and licenses

TaxonomyCodeLicense
Psychiatry Physician 2084P0800X6313601-1205 (UT)
Child & Adolescent Psychiatry Physician Primary 2084P0804X6313601-1205 (UT)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1083703284

Douglas Gavin Kondo, MD's National Provider Identifier is 1083703284, issued on Oct 12, 2006. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Salt Lake City, UT. The record was last updated on Mar 7, 2023.