Organization
DYNAMIC PSYCHIATRY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAD WARREN (OWNER)
(385) 396-7235
Entity
Organization
Contact information
Practice address
3098 W EXECUTIVE PKWY STE 300, LEHI, UT 84048-4911
(385) 396-7235
(801) 363-4885
Mailing address
3098 W EXECUTIVE PKWY STE 300, LEHI, UT 84048-4911
(385) 396-7235
(801) 363-4885
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
208D00000X
General Practice Physician
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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