Organization
UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES
Active
Parent organization
UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES
Other names
5 west - Department of Psychiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF UTAH BEHAVIORAL HEALTH SERVICES
Authorized official
JON KAR ZUBIETA MD (DEPARTMENT CHAIR)
(801) 587-6336
Entity
Organization
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 587-6336
Mailing address
PO BOX 413076, SALT LAKE CITY, UT 84141-3076
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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