Individual
DR. BRIAN COATS RIEDESEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., B.CE.T.S.
Contact information
Practice address
201 S 1460 E, ROOM 426 - COUNSELING CENTER, SALT LAKE CITY, UT 84112-9099
(801) 581-6826
Mailing address
201 S 1460 E, ROOM 426 - COUNSELING CENTER, SALT LAKE CITY, UT 84112-9099
(801) 581-6826
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1122822501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876000525706
—
UT
05
—
D1800
—
UT
Enumeration date
05/19/2008
Last updated
05/19/2008
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