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DEPARTMENT OF NEUROLOGY SCHOOL OF MEDICINE UNIVERSITY OF UTAH

Clinical Neuropsychologist

Salt Lake City, Utah

Provider NPI: 1326092511

Organization Information:
Organization Name:  DEPARTMENT OF NEUROLOGY SCHOOL OF MEDICINE UNIVERSITY OF UTAH
Organization is not Subpart
Authorized Official:  STEFAN  PULST  DEPARTMENT CHAIR  801-5856387

Practice Location:
50 N MEDICAL DR  SALT LAKE CITY, UT 84132 US
Tel: 801-585-6387  Fax: --

Business Mailing Address:
PO BOX 413027  SALT LAKE CITY, UT 84141 US
Tel: 801-236-7748  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
N2084N0600XPhysicians
Psychiatry & Neurology
N2084V0102XPhysicians
Psychiatry & Neurology
N363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N363LA2100XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N363LA2200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N363LC0200XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
N363LP2300XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Y2084N0400XPhysicians
Psychiatry & Neurology

Other Provider Identifiers:

IssuerNumberStateType
=========001UT05
100502570NV05
807423300ID05
003060200ID05
MEDICARE GROUP 700008059UT04
122358500WY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS UT - Page 1

1 Mental Health Therapist / LCSW / CMHC Bountiful, UT, USA On the front end, we provide neuropsychological and psychological testing as needed to inform diagnosis and treatment. Once we have identified the targeted behaviors of concern, we work as a team to ...... Apply Now>>



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