Organization
KIMBERLY O. SIEBER, PH.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY O. SIEBER PH.D. (OWNER/MANAGER)
(801) 792-1466
Entity
Organization
Contact information
Practice address
5005 S 900 E, #120, SALT LAKE CITY, UT 84117-5788
(801) 792-1466
Mailing address
PO BOX 95847, SOUTH JORDAN, UT 84095-0847
(801) 792-1466
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
376648-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235162785
NPI
—
Enumeration date
06/08/2011
Last updated
06/08/2011
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