| Salt Lake Neuropsych | |
|
1314 W 11400 S # 104 South Jordan UT 84095-8960 | |
| (385) 274-8113 | |
| Not Available |
| Full Name | Salt Lake Neuropsych |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1314 W 11400 S # 104, South Jordan, Utah |
| Authorized Official Name and Position | Erin Elizabeth Krauskopf (PARTNER; PEDIATRIC NEUROPSYCHOLOGIS) |
| Authorized Official Contact | 7722339230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt Lake Neuropsych 1314 W 11400 S # 104 South Jordan UT 84095-8960 Ph: () - | Salt Lake Neuropsych 1314 W 11400 S # 104 South Jordan UT 84095-8960 Ph: (385) 274-8113 |
| NPI Number | 1649964461 |
|---|---|
| Provider Enumeration Date | 06/05/2023 |
| Last Update Date | 06/05/2023 |
| Certification Date | 06/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649964461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
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