Organization
HEALTH BALANCE INTERNATIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES MCCUSKER (MANAGER)
(801) 688-2628
Entity
Organization
Contact information
Practice address
1627 FOOTHILL DR, SUITE 10, SALT LAKE CITY, UT 84108-2739
(801) 688-2628
Mailing address
1627 FOOTHILL DR, SUITE 10, SALT LAKE CITY, UT 84108-2739
(801) 688-2628
(801) 906-0735
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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