Organization
SALT PSYCHOLOGICAL AND BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD THUESON (PROGRAM ADMINISTRATOR)
(801) 768-0608
Entity
Organization
Contact information
Practice address
9710 S 700 E, SUITE 111, SANDY, UT 84070-3594
(801) 768-0608
Mailing address
9710 S 700 E, SUITE 111, SANDY, UT 84070-3594
(801) 768-0608
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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