Organization · Type 2 NPI
The Child's Alliance, LLC
Medical Physician Assistant · Salt Lake City, UT
NPI number
1780459016
Active
Practice location
1909 S 4250 W Ofc A
Salt Lake City, UT 84104-4837
Fax (801) 852-0325
Mailing address
11721 S Silver Spur Ln
Draper, UT 84020-4515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
About NPI 1780459016
The Child's Alliance, LLC's National Provider Identifier is 1780459016, issued on Nov 16, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 24, 2023.