| Utah Psychiatric Clinic, Llc | |
|
12221 S 900 E Draper UT 84020-7413 | |
| (801) 592-2002 | |
| Not Available |
| Full Name | Utah Psychiatric Clinic, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 12221 S 900 E, Draper, Utah |
| Authorized Official Name and Position | Daniel Bryan Inouye (PRESIDENT) |
| Authorized Official Contact | 8015922002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Psychiatric Clinic, Llc 12221 S 900 E Draper UT 84020-7413 Ph: (801) 592-2002 | Utah Psychiatric Clinic, Llc 12221 S 900 E Draper UT 84020-7413 Ph: (801) 592-2002 |
| NPI Number | 1356847206 |
|---|---|
| Provider Enumeration Date | 03/31/2018 |
| Last Update Date | 11/29/2022 |
| Certification Date | 11/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356847206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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