Organization
NOVUM PSYCHOTHERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JOSEPH LEWIS PSYD (OWNER/LICENSED PSYCHOLOGIST)
(314) 398-2351
Entity
Organization
Contact information
Practice address
275 E SOUTH TEMPLE STE 150, SALT LAKE CITY, UT 84111-1270
(314) 398-2351
(801) 853-8237
Mailing address
777 E SOUTH TEMPLE APT 8C, SALT LAKE CITY, UT 84102-1272
(314) 398-2351
(801) 853-8237
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9289374-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275846412
—
WY
Enumeration date
01/04/2018
Last updated
01/04/2018
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