Abs Utah, P.c. | |
240 Morris Ave Ste 100 Salt Lake City UT 84115-3278 | |
(801) 935-4171 | |
(801) 935-4946 |
Full Name | Abs Utah, P.c. |
---|---|
Speciality | Community/behavioral Health |
Location | 240 Morris Ave Ste 100, Salt Lake City, Utah |
Authorized Official Name and Position | Glenn Wiger (MANAGER, CONTRACTING) |
Authorized Official Contact | 8189000681 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Abs Utah, P.c. 16255 Ventura Blvd Ste 900 Encino CA 91436-2317 Ph: (801) 935-4171 | Abs Utah, P.c. 240 Morris Ave Ste 100 Salt Lake City UT 84115-3278 Ph: (801) 935-4171 |
NPI Number | 1053821728 |
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Provider Enumeration Date | 10/06/2017 |
Last Update Date | 10/30/2024 |
Certification Date | 10/30/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053821728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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