Dr Cynthia E Palacios-gutierrez, PSYD | |
3760 S Highland Dr Ste 354, Salt Lake City, UT 84106-4260 | |
(385) 260-0181 | |
Not Available |
Full Name | Dr Cynthia E Palacios-gutierrez |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 3760 S Highland Dr Ste 354, Salt Lake City, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407160070 | NPI | - | NPPES |
9187320-2501 | Other | UT | DIVISION OF OCCUPATIONAL & PROFESSIONAL LICENSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 9187320-2501 (Utah) | Primary |
Entity Name | University Of Utah Behavioral Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
Entity Name | University Of Utah Acuity Care Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407250541 PECOS PAC ID: 4789908534 Enrollment ID: O20150127000392 |
Entity Name | University Of Utah Pediatric Acuity Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619325131 PECOS PAC ID: 6406148345 Enrollment ID: O20160713000869 |
Entity Name | University Of Utah Pediatric Behavioral Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309 |
Mailing Address | Practice Location Address |
---|---|
Dr Cynthia E Palacios-gutierrez, PSYD 3760 S Highland Dr Ste 354, Salt Lake City, UT 84106-4260 Ph: (385) 260-0181 | Dr Cynthia E Palacios-gutierrez, PSYD 3760 S Highland Dr Ste 354, Salt Lake City, UT 84106-4260 Ph: (385) 260-0181 |