| New Life Balance, Llc | |
|
2689 S Highland Dr Salt Lake City UT 84106-2774 | |
| (435) 695-4421 | |
| (385) 259-0990 |
| Full Name | New Life Balance, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2689 S Highland Dr, Salt Lake City, Utah |
| Authorized Official Name and Position | Charles Mccusker (REGISTERED AGENT) |
| Authorized Official Contact | 4356954421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Balance, Llc 2689 S Highland Dr Salt Lake City UT 84106-2774 Ph: (435) 695-4421 | New Life Balance, Llc 2689 S Highland Dr Salt Lake City UT 84106-2774 Ph: (435) 695-4421 |
| NPI Number | 1558611970 |
|---|---|
| Provider Enumeration Date | 09/13/2012 |
| Last Update Date | 09/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558611970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1160352501 (Utah) | Primary |
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