Organization
SUMMIT COUNTY EARLY INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUESANNEB O BOND BSECE (DIRECTOR)
(435) 615-3925
Entity
Organization
Contact information
Practice address
6505 LANDMARK DR, PARK CITY, UT 84098-5999
(435) 615-3925
(435) 615-3926
Mailing address
6505 LANDMARK DR, PARK CITY, UT 84098-5999
(435) 615-3925
(435) 615-3926
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
251C00000X
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251C00000X
—
UT
Enumeration date
08/01/2006
Last updated
07/21/2022
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