University of Utah
NPI #1194070276 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1194070276
- Entity Type
- Organization
- Organization Name
- University of Utah
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- UNIVERSITY OF UTAH
- Primary Specialty
- Psychologist - Addiction (Substance Use Disorder)
- Enumeration Date
- Jul 16, 2012
- Last Updated
- Jul 16, 2012
Practice Location
- Address
- 450 S 900 E
- Address 2
- SUITE 300
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84102-2981
- Phone
- (801) 532-1850
Authorized Official
- Name
- DR. KELLY LUNDBERG, PHD
- Title
- DIRECTOR
- Phone
- (801) 534-7905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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