Organization
INTEGRUM PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN WALTER MORGAN LCSW (OWNER)
(202) 487-5244
Entity
Organization
Contact information
Practice address
1174 E GRAYSTONE WAY STE 6, SALT LAKE CITY, UT 84106-2671
(801) 683-5330
Mailing address
1584 E GLEN ARBOR ST, SALT LAKE CITY, UT 84105-3813
(919) 949-0486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114242724
NPI
—
01
—
1518211705
NPI
—
Enumeration date
07/31/2018
Last updated
07/31/2018
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