Otr Therapeutic Services, Pllc | |
2480 S Main St Suite 105 Salt Lake City UT 84115-3058 | |
(801) 641-5077 | |
(801) 274-8102 |
Full Name | Otr Therapeutic Services, Pllc |
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Speciality | Counselor - Mental Health |
Location | 2480 S Main St, Salt Lake City, Utah |
Authorized Official Name and Position | Julie Kay Scheid (CLINICAL THERAPIST) |
Authorized Official Contact | 8016415077 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Otr Therapeutic Services, Pllc 2722 S Camron Glen Dr Magna UT 84044-1570 Ph: (801) 641-5077 | Otr Therapeutic Services, Pllc 2480 S Main St Suite 105 Salt Lake City UT 84115-3058 Ph: (801) 641-5077 |
NPI Number | 1902204209 |
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Provider Enumeration Date | 12/18/2014 |
Last Update Date | 12/18/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902204209 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 287998-6004 (Utah) | Primary |
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