| U-u Alcohol & Drug Clinic School Of Medicine | |
|
30 N 1900 E 1r52 Som Salt Lake City UT 84132-2119 | |
| (801) 581-6228 | |
| (801) 585-6702 |
| Full Name | U-u Alcohol & Drug Clinic School Of Medicine |
|---|---|
| Speciality | Psychologist - Addiction (substance Use Disorder) |
| Location | 30 N 1900 E, Salt Lake City, Utah |
| Authorized Official Name and Position | Stephen Sheppard (DIRECTOR) |
| Authorized Official Contact | 8015816228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| U-u Alcohol & Drug Clinic School Of Medicine 30 N 1900 E 1r52 Som Salt Lake City UT 84132-2119 Ph: (801) 581-6228 | U-u Alcohol & Drug Clinic School Of Medicine 30 N 1900 E 1r52 Som Salt Lake City UT 84132-2119 Ph: (801) 581-6228 |
| NPI Number | 1245371699 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 02/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245371699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 12188 (Utah) | Primary |
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