| Alzheimers Disease And Related Disorders Association Utah Chapter | |
|
855 E 4800 S Ste 100 Salt Lake City UT 84107-5513 | |
| (801) 265-1944 | |
| Not Available |
| Full Name | Alzheimers Disease And Related Disorders Association Utah Chapter |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 855 E 4800 S Ste 100, Salt Lake City, Utah |
| Authorized Official Name and Position | Sylvia Brunisholz (PROGRAM MANAGER) |
| Authorized Official Contact | 8013470074 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alzheimers Disease And Related Disorders Association Utah Chapter 855 E 4800 S Ste 100 Salt Lake City UT 84107-5513 Ph: (801) 265-1944 | Alzheimers Disease And Related Disorders Association Utah Chapter 855 E 4800 S Ste 100 Salt Lake City UT 84107-5513 Ph: (801) 265-1944 |
| NPI Number | 1235417684 |
|---|---|
| Provider Enumeration Date | 08/02/2011 |
| Last Update Date | 12/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235417684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | 0008208 (Utah) | Primary |
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