| Sovegna Pllc | |
|
850 E 300 S Ste 1 Salt Lake City UT 84102-2301 | |
| (385) 429-9808 | |
| (844) 838-8100 |
| Full Name | Sovegna Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 850 E 300 S Ste 1, Salt Lake City, Utah |
| Authorized Official Name and Position | Susan Wiet (OWNER) |
| Authorized Official Contact | 8019153698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sovegna Pllc 850 E 300 S Ste 1 Salt Lake City UT 84102-2301 Ph: (385) 429-9808 | Sovegna Pllc 850 E 300 S Ste 1 Salt Lake City UT 84102-2301 Ph: (385) 429-9808 |
| NPI Number | 1790289098 |
|---|---|
| Provider Enumeration Date | 03/21/2018 |
| Last Update Date | 03/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790289098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | 371205-1106 (Utah) | Primary |
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