National Provider Identifier Database

ST GEORGE CHILDREN FAMILY PSYCHIATRIC CENTER PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

ST. GEORGE CHILDREN & FAMILY PSYCHIATRIC CENTER PC
230 N 1680 E STE H1
SAINT GEORGE, UT84790-2584
Phone: 435-652-1897
Fax: 435-652-5909
Website:
Specialty Taxonomy Code
* Specialist 174400000X
Psychiatric/Mental Health, Child & Family 364SP0810X

* Indicates primary specialty

NPI Profile & details for ST. GEORGE CHILDREN & FAMILY PSYCHIATRIC CENTER PC

NPI Number 1225326044
Legal business name
LBN
ST. GEORGE CHILDREN & FAMILY PSYCHIATRIC CENTER PC
Authorized official CANTRIL NIELSEN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/13/2011
Last updated 09/02/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • UT License #: 1494471205
  • UT License #: 68747874408

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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