Organization
ABS UTAH, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN WIGER (MANAGER, CONTRACTING)
(818) 900-0681
Entity
Organization
Contact information
Practice address
240 MORRIS AVE STE 100, SALT LAKE CITY, UT 84115-3278
(801) 935-4171
(801) 935-4946
Mailing address
16255 VENTURA BLVD STE 900, ENCINO, CA 91436-2317
(801) 935-4171
(801) 935-4946
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
09/10/2025
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