Pediatric Behavioral Health
NPI #1942476569 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1942476569
- Entity Type
- Organization
- Organization Name
- Pediatric Behavioral Health
- Primary Specialty
- Pediatrics - Developmental - Behavioral Pediatrics
- Enumeration Date
- May 3, 2008
- Last Updated
- Sep 6, 2011
Practice Location
- Address
- 100 N MEDICAL DR
- Address 2
- PEDS BEHAVIORAL HEALTH
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84113-1103
- Phone
- (801) 662-2100
Authorized Official
- Name
- DR. EDWARD B CLARK, MD
- Title
- CHAIRPERSON
- Phone
- (801) 587-7400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Pediatrics - Neurodevelopmental Disabilities — Neurodevelopmental Disabilities |
| Pediatrics - Developmental - Behavioral Pediatrics — Developmental - Behavioral Pediatrics |
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Organizations
| Provider Name | |
|---|---|
| University of Utah Pediatric Behavioral Health Services Part of University of Utah Pediatric Behavioral Health Services | AI Deep Dive |
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