Organization
WASATCH PEDIATRIC NEUROPSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIEN TERESA SMITH PHD (PEDIATRIC NEUROPSYCHOLOGIST)
(801) 596-2347
Entity
Organization
Contact information
Practice address
231 E 400 S, 340, SALT LAKE CITY, UT 84111-2830
(801) 596-2347
(801) 596-2302
Mailing address
231 E 400 S, 340, SALT LAKE CITY, UT 84111-2830
(801) 596-2347
(801) 596-2302
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
2740632501
UT
Other
Enumeration date
11/18/2012
Last updated
12/20/2012
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