| Wasatch Front Wellness, Pllc | |
|
940 N 400 E Ste 3 North Salt Lake UT 84054-1945 | |
| (385) 244-0055 | |
| (385) 240-2065 |
| Full Name | Wasatch Front Wellness, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 940 N 400 E Ste 3, North Salt Lake, Utah |
| Authorized Official Name and Position | Tara Sharifan (PSYCHOLOGIST, FOUNDER) |
| Authorized Official Contact | 3852440055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wasatch Front Wellness, Pllc 940 N 400 E Ste 3 North Salt Lake UT 84054-1945 Ph: (385) 244-0055 | Wasatch Front Wellness, Pllc 940 N 400 E Ste 3 North Salt Lake UT 84054-1945 Ph: (385) 244-0055 |
| NPI Number | 1023627759 |
|---|---|
| Provider Enumeration Date | 07/29/2020 |
| Last Update Date | 07/29/2020 |
| Certification Date | 07/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023627759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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