Intermountain Psychiatry & Counseling | |
5169 S Cottonwood St Ste 400 Murray UT 84107-6769 | |
(801) 507-3472 | |
Not Available |
Full Name | Intermountain Psychiatry & Counseling |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 5169 S Cottonwood St, Murray, Utah |
Authorized Official Name and Position | Linda C Leckman (CEO INTERMOUNTAIN MEDICAL GROUP) |
Authorized Official Contact | 8014423974 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Intermountain Psychiatry & Counseling Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 507-3472 | Intermountain Psychiatry & Counseling 5169 S Cottonwood St Ste 400 Murray UT 84107-6769 Ph: (801) 507-3472 |
NPI Number | 1265786503 |
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Provider Enumeration Date | 11/08/2012 |
Last Update Date | 06/03/2013 |
Identifier | Type | State | Issuer |
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1265786503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | 6292013 (Utah) | Primary |
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