Utah State Hospital

NPI #1033533211 in Provo, Utah

Provider Information

NPI Number: 1033533211
Entity Type: Organization
Organization Name: Utah State Hospital
Primary Specialty: Psychiatric Hospital
Enumeration Date: Feb 10, 2014
Last Updated: Feb 10, 2014

Practice Location

Address: 1300 E CENTER ST
City: Provo
State: Utah
ZIP Code: 84606-3554
Phone: (801) 344-4331

Authorized Official

Name: DR. ANDREW NICHOLS, PH.D.
Title: NEUROPSYCHOLOGIST
Phone: (801) 344-4331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatric Hospital	283Q00000X	Primary

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