Organization
ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATION UTAH CHAPTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVIA BRUNISHOLZ LCSW (PROGRAM MANAGER)
(801) 347-0074
Entity
Organization
Contact information
Practice address
855 E 4800 S STE 100, SALT LAKE CITY, UT 84107-5513
(801) 265-1944
Mailing address
855 E 4800 S STE 100, SALT LAKE CITY, UT 84107-5513
(801) 265-1944
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
0008208
UT
Other
Enumeration date
08/02/2011
Last updated
12/06/2012
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