# THE NEURODIVERSITY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235967209
- **Authorized official:** SARAH MACCOMBIE CMHC, OT (CLINICAL DIRECTOR)
- **Authorized official phone:** (801) 432-0015

## Contact information

- **Practice address:** 970 E 3300 S STE 7, MILLCREEK, UT 84106-2183
- **Practice address phone:** (801) 432-0015
- **Practice address fax:** (866) 323-1403
- **Mailing address:** 970 E 3300 S STE 7, MILLCREEK, UT 84106-2183
- **Mailing address phone:** (801) 432-0015
- **Mailing address fax:** (866) 323-1403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/22/2024
- **Last updated:** 09/11/2025