| Specialty Group, Llc | |
|
4190 S Highland Dr Ste 108 Salt Lake City UT 84124-2600 | |
| (801) 214-1582 | |
| Not Available |
| Full Name | Specialty Group, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4190 S Highland Dr Ste 108, Salt Lake City, Utah |
| Authorized Official Name and Position | Jenny Jo Tuttle (MANAGING MEMBER) |
| Authorized Official Contact | 8019130760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Group, Llc 4190 S Highland Dr Ste 108 Salt Lake City UT 84124-2600 Ph: () - | Specialty Group, Llc 4190 S Highland Dr Ste 108 Salt Lake City UT 84124-2600 Ph: (801) 214-1582 |
| NPI Number | 1447941828 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447941828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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