| Cottonwood Psychiatry And Counseling | |
|
5770 S 250 E Ste 300 Murray UT 84107-8100 | |
| (801) 314-2500 | |
| Not Available |
| Full Name | Cottonwood Psychiatry And Counseling |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5770 S 250 E Ste 300, Murray, Utah |
| Authorized Official Name and Position | Mark Briesacher (SVP - CHIEF PHY EXECUTIVE) |
| Authorized Official Contact | 8014423495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottonwood Psychiatry And Counseling Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 233-4200 | Cottonwood Psychiatry And Counseling 5770 S 250 E Ste 300 Murray UT 84107-8100 Ph: (801) 314-2500 |
| NPI Number | 1649523275 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 01/07/2021 |
| Certification Date | 01/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649523275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 6282012 (Utah) | Primary |
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