Organization
JAMES L. POULTON, PH.D., P.C., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LAWRENCE POULTON PH.D. (PRESIDENT)
(801) 350-0117
Entity
Organization
Contact information
Practice address
850 E 300 S, SUITE 10, SALT LAKE CITY, UT 84102-2332
(801) 350-0117
(801) 350-3536
Mailing address
850 E 300 S, SUITE 10, SALT LAKE CITY, UT 84102-2332
(801) 350-0117
(801) 350-3536
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
114917-2501
UT
Other
Enumeration date
02/08/2007
Last updated
12/17/2010
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