| Buffalo Run Psychological Services, Pllc | |
|
987 Chatham Dr North Salt Lake UT 84054-6121 | |
| (404) 247-7558 | |
| Not Available |
| Full Name | Buffalo Run Psychological Services, Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 987 Chatham Dr, North Salt Lake, Utah |
| Authorized Official Name and Position | Hannah Muetzelfeld (MANAGING OFFICER) |
| Authorized Official Contact | 4042477558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buffalo Run Psychological Services, Pllc 987 Chatham Dr North Salt Lake UT 84054-6121 Ph: (404) 247-7558 | Buffalo Run Psychological Services, Pllc 987 Chatham Dr North Salt Lake UT 84054-6121 Ph: (404) 247-7558 |
| NPI Number | 1013615848 |
|---|---|
| Provider Enumeration Date | 02/21/2023 |
| Last Update Date | 02/21/2023 |
| Certification Date | 02/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013615848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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