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Organization
UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Active
Organization
UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Active
Other names
Pediatric Sports Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE RUSHTON (DIRECTOR)
(801) 587-6463
Entity
Organization
Contact information
Practice address
590 S WAKARA WAY, SALT LAKE CITY, UT 84108-1200
(801) 587-7109
Mailing address
PO BOX 841450, LOS ANGELES, CA 90084-1450
Taxonomy
Speciality
Code
Description
License number
State
2084S0010X
Sports Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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