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Contact Information

SALT LAKE NEUROPSYCH
1314 W 11400 S # 104
SOUTH JORDAN, UT84095-8960
 Phone: 385-274-8113
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neuropsychologist

103G00000X
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SALT LAKE NEUROPSYCH

NPI # 1649964461
LBN Legal business name SALT LAKE NEUROPSYCH
Authorized official ERIN KRAUSKOPF - (PARTNER; PEDIATRIC NEUROPSYCHOLOGIS)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2023
Last updated 06/05/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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