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Contact Information

EVIDENCE BASED TREATMENT CENTERS OF SALT LAKE CITY, PLLC
2225 E MURRAY HOLLADAY RD STE 116
HOLLADAY, UT84117-5382
 Phone: 206-374-0109
 Fax: 206-374-0108
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for EVIDENCE BASED TREATMENT CENTERS OF SALT LAKE CITY PLLC · (Female)

NPI # 1326783689
Status Active
Credentials
Entity Individual
Enumeration date 05/02/2022
Last updated 02/02/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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