| Salt Lake Psychiatry And Wellness, Pllc | |
|
780 S 2000 W Ste 105 Syracuse UT 84075-9602 | |
| (801) 332-9201 | |
| Not Available |
| Full Name | Salt Lake Psychiatry And Wellness, Pllc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 780 S 2000 W Ste 105, Syracuse, Utah |
| Authorized Official Name and Position | Colin Andrew Riley (DOCTOR) |
| Authorized Official Contact | 8013329201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt Lake Psychiatry And Wellness, Pllc 780 S 2000 W Ste 105 Syracuse UT 84075-9602 Ph: (801) 332-9201 | Salt Lake Psychiatry And Wellness, Pllc 780 S 2000 W Ste 105 Syracuse UT 84075-9602 Ph: (801) 332-9201 |
| NPI Number | 1699481168 |
|---|---|
| Provider Enumeration Date | 01/27/2023 |
| Last Update Date | 01/27/2023 |
| Certification Date | 01/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699481168 | NPI | - | NPPES |
| U000111257 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
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