Organization
UNIVERSITY OF UTAH BEHAVIORAL HEALTH SELF PAY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ASHWORTH MD (VICE CHAIR, CLINICAL AFFAIRS)
(801) 587-6336
Entity
Organization
Contact information
Practice address
650 S KOMAS DR, 206, SALT LAKE CITY, UT 84108-1215
(801) 585-1212
Mailing address
PO BOX 413076, SALT LAKE CITY, UT 84141-3076
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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