Organization
U-U ALCOHOL & DRUG CLINIC SCHOOL OF MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN SHEPPARD PHD (DIRECTOR)
(801) 581-6228
Entity
Organization
Contact information
Practice address
30 N 1900 E, 1R52 SOM, SALT LAKE CITY, UT 84132-2119
(801) 581-6228
(801) 585-6702
Mailing address
30 N 1900 E, 1R52 SOM, SALT LAKE CITY, UT 84132-2119
(801) 581-6228
(801) 585-6702
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
12188
UT
Other
Enumeration date
02/09/2007
Last updated
02/29/2012
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