Individual provider · Type 1 NPI

Susan Lee Benedict

Neurology with Special Qualifications in Child Neurology Physician · Salt Lake City, UT

NPI number 1740369214 Active

Practice location

100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Mailing address

PO Box 413021
Salt Lake City, UT 84141-3021

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician 2084P0804X4788504-1205 (UT)
Neurology with Special Qualifications in Child Neurology Physician Primary 2084N0402X4788504-1205 (UT)

Neurology with Special Qualifications in Child Neurology Physician: A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

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About NPI 1740369214

Susan Lee Benedict's National Provider Identifier is 1740369214, issued on Nov 3, 2006. The primary taxonomy on file is Neurology with Special Qualifications in Child Neurology Physician (2084N0402X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 3, 2021.