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Organization

DYNAMIC PSYCHIATRY & WELLNESS

Active
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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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