| Uvrmc Psych | |
|
1055 N 300 W Suite 104 Provo UT 84604-3344 | |
| (801) 442-1400 | |
| Not Available |
| Full Name | Uvrmc Psych |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1055 N 300 W, Provo, Utah |
| Authorized Official Name and Position | Kelly Howard (DIRECTOR) |
| Authorized Official Contact | 8014421425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Uvrmc Psych Po Box 27128 Salt Lake City UT 84127-0128 Ph: (801) 442-1400 | Uvrmc Psych 1055 N 300 W Suite 104 Provo UT 84604-3344 Ph: (801) 442-1400 |
| NPI Number | 1932224516 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 10/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932224516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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