National Provider Identifier Database

ELYSE F COOLIDGE, MD – NPI #1265842579
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

ELYSE F COOLIDGE, MD
2666 S 2000 E STE 101
SALT LAKE CITY, UT84109-1721
Phone: 801-864-4077
Fax:
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for ELYSE F COOLIDGE

NPI Number 1265842579
Credentials MD
Entity Individual
Enumeration date 05/08/2014
Last updated 06/11/2024 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • UT License #: 11320286-1205
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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