Organization
SCPTR WELLNESS L.L.C.
Active
Organization
SCPTR WELLNESS L.L.C.
Active
Other names
SCPTR Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
PARTHA GANDHI PHD (OWNER)
(385) 259-0376
Entity
Organization
Contact information
Practice address
2936 S HIGHLAND DR, SALT LAKE CITY, UT 84106-3582
(385) 259-0376
Mailing address
2936 S HIGHLAND DR, SALT LAKE CITY, UT 84106-3582
(385) 259-0376
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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