Individual
DR. ADAM J SCHWEBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1477 N 2000 W, SUITE E, CLINTON, UT 84015-8638
(801) 614-5866
(801) 825-1162
Mailing address
PO BOX 95970, SOUTH JORDAN, UT 84095-0970
(800) 658-8556
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
360871-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780837047
—
UT
Enumeration date
10/30/2008
Last updated
06/12/2013
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