# SOUTH COUNTY PSYCHIATRIC CLINIC INC

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

## Provider details

- **NPI number:** 1962711077
- **Authorized official:** DR. PHILIP WASHBURN M.D. (GENERAL PSYCHIATRIST)
- **Authorized official phone:** (801) 465-2035

## Contact information

- **Practice address:** 39 PROFESSIONAL WAY STE 2, PAYSON, UT 84651-1677
- **Practice address phone:** (801) 465-2035
- **Mailing address:** 39 PROFESSIONAL WAY \#2, PAYSON, UT 84651
- **Mailing address phone:** (801) 465-2035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0805X | Geriatric Psychiatry Physician | 146051-1205 | UT | Yes |

## Other

- **Enumeration date:** 10/07/2010
- **Last updated:** 10/07/2010