| Shrinkster, Llc | |
|
860 E 4500 S Ste 302 Salt Lake City UT 84107-3018 | |
| (801) 685-9600 | |
| (801) 268-3777 |
| Full Name | Shrinkster, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 860 E 4500 S Ste 302, Salt Lake City, Utah |
| Authorized Official Name and Position | Roderick V. Johnson (OWNER) |
| Authorized Official Contact | 8016859600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shrinkster, Llc 860 E 4500 S Ste 302 Salt Lake City UT 84107-3018 Ph: (801) 685-9600 | Shrinkster, Llc 860 E 4500 S Ste 302 Salt Lake City UT 84107-3018 Ph: (801) 685-9600 |
| NPI Number | 1003088691 |
|---|---|
| Provider Enumeration Date | 03/24/2008 |
| Last Update Date | 01/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003088691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1347223501 (Utah) | Primary |
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