Organization · Type 2 NPI

The Neurodiversity Clinic

Psychiatric/Mental Health Nurse Practitioner · Millcreek, UT

NPI number 1235967209 Active

Practice location

970 E 3300 S Ste 7
Millcreek, UT 84106-2183

Call (801) 432-0015 Map

Fax (866) 323-1403

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

About NPI 1235967209

The Neurodiversity Clinic's National Provider Identifier is 1235967209, issued on Jul 22, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Millcreek, UT. The record was last updated on Sep 11, 2025.