Individual provider · Type 1 NPI
Audrey Maya Wadhwani, PharmD
Adult Mental Health Clinic/Center · Salt Lake City, UT
NPI number
1467002253
Active
Practice location
500 Foothill Dr
Salt Lake City, UT 84148-0001
Mailing address
200 N 455 W, Apt 337
Salt Lake City, UT 84193
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | P8181 (ID) |
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.
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About NPI 1467002253
Audrey Maya Wadhwani, PharmD's National Provider Identifier is 1467002253, issued on Sep 13, 2019. 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 Sep 13, 2019.