| Tms Elevated | |
|
1790 Sun Peak Dr Ste B105 Park City UT 84098-6625 | |
| (385) 441-3004 | |
| (435) 602-1131 |
| Full Name | Tms Elevated |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1790 Sun Peak Dr Ste B105, Park City, Utah |
| Authorized Official Name and Position | Melissa Lopez-larson (OWNER/PROVIDER) |
| Authorized Official Contact | 3854413004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tms Elevated 1790 Sun Peak Dr Ste B105 Park City UT 84098-6625 Ph: (385) 441-3004 | Tms Elevated 1790 Sun Peak Dr Ste B105 Park City UT 84098-6625 Ph: (385) 441-3004 |
| NPI Number | 1871101014 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 07/14/2020 |
| Certification Date | 07/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871101014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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