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Organization

UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES

Active
Parent organization
UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Other names
Neurostimulation Clinic - Pediatric Adolescent
Organization subpart
Yes

Provider details

NPI number
Legal business name
UNIVERSITY OF UTAH PEDIATRIC BEHAVIORAL HEALTH SERVICES
Authorized official
JON KAR ZUBIETA MD (DEPARTMENT CHAIR)
(801) 587-6336
Entity
Organization

Contact information

Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-6336
Mailing address
PO BOX 413021, SALT LAKE CITY, UT 84141-3021
(801) 587-6336

Taxonomy

Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
04/05/2016
Last updated
04/06/2016
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