Mutsumi Bramble, is a
Psychologist - School based in South Salt Lake, Utah. Mutsumi Bramble is licensed to practice in * (Not Available) (license number ) and her current practice location is
2500 S State St, South Salt Lake, Utah. She can be reached at her office (for appointments etc.) via phone at
(385) 646-5000.
NPI number for Mutsumi Bramble is 1770124299 and her current mailing address is 1529 E 3115 S, Slc, Utah. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770124299.
Healthcare Provider's Profile
Full Name | Mutsumi Bramble |
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Gender | Female |
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Speciality | Psychologist - School |
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Location | 2500 S State St, South Salt Lake, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770124299
- Provider Enumeration Date: 10/06/2019
- Last Update Date: 05/16/2022
Medical Identifiers
Medical identifiers for Mutsumi Bramble such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770124299 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 10088318-6009 (Utah) | Secondary |
103TS0200X | Psychologist - School | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mutsumi Bramble is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mutsumi Bramble, 1529 E 3115 S, Slc, UT 84106-3455 Ph: () - | Mutsumi Bramble, 2500 S State St, South Salt Lake, UT 84115-3164 Ph: (385) 646-5000 |
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