WASATCH PEDIATRIC NEUROPSYCHOLOGY
Ambulatory Health at 400, Salt Lake City, UT

License number
Utah 2740632501
Category
Ambulatory Health
Type
Mental Health (Including Community Mental Health Center)
Owner
Name: DR. JULIEN TERESA SMITH PHD
Title: PEDIATRIC NEUROPSYCHOLOGIST
Phone: (801) 596-2347
Address
Address
231 E 400 S 340, Salt Lake City, UT 84111
National Provider ID: 1962746719
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about WASATCH PEDIATRIC NEUROPSYCHOLOGY at bizstanding.com

WASATCH PEDIATRIC NEUROPSYCHOLOGY, INC

165 Regent St, Salt Lake City, UT 84111

Registration:
Dec 7, 2012
State ID:
8514841-0142
Business type:
Corporation - Domestic - Profit
Agent:
Bill Gray,165 Regent St, Salt Lake City, UT 84111 (Physical)

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