| Sundance Behavioral Resources Of Utah | |
|
310 E 4500 S Ste 600 Murray UT 84107-4246 | |
| (801) 264-9522 | |
| (801) 265-9604 |
| Full Name | Sundance Behavioral Resources Of Utah |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 310 E 4500 S Ste 600, Murray, Utah |
| Authorized Official Name and Position | Kerry Biscornet (SECRETARY) |
| Authorized Official Contact | 6088542929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sundance Behavioral Resources Of Utah 11000 Optum Cir Eden Prairie MN 55344-2503 Ph: (608) 854-2929 | Sundance Behavioral Resources Of Utah 310 E 4500 S Ste 600 Murray UT 84107-4246 Ph: (801) 264-9522 |
| NPI Number | 1942076633 |
|---|---|
| Provider Enumeration Date | 12/04/2023 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942076633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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