Individual
JOHN S VITKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
324 E 10TH AVE STE 178, SALT LAKE CITY, UT 84103-2885
(801) 408-8500
(801) 408-8510
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11351485-2501
UT
103T00000X
Psychologist
5437
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2141435
—
OH
Enumeration date
06/23/2006
Last updated
01/13/2025
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