Organization
DR AMY LYNN FEHLBERG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY FEHLBERG (DIRECTOR)
(435) 901-0759
Entity
Organization
Contact information
Practice address
275 E SOUTH TEMPLE STE 340, SALT LAKE CITY, UT 84111-1246
(435) 901-0759
Mailing address
275 E SOUTH TEMPLE STE 340, SALT LAKE CITY, UT 84111-1246
(435) 901-0759
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5291247-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619108057
—
UT
Enumeration date
05/29/2015
Last updated
02/06/2024
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