| Catholic Health Initiatives Colorado | |
|
1600 W Antelope Dr Layton UT 84041-1142 | |
| (801) 820-3730 | |
| (801) 820-3731 |
| Full Name | Catholic Health Initiatives Colorado |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 1600 W Antelope Dr, Layton, Utah |
| Authorized Official Name and Position | Angela J Skinner (ADMINISTRATOR, OMA) |
| Authorized Official Contact | 3036737175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catholic Health Initiatives Colorado Po Box 800022 Kansas City MO 64180-0022 Ph: (800) 953-0104 | Catholic Health Initiatives Colorado 1600 W Antelope Dr Layton UT 84041-1142 Ph: (801) 820-3730 |
| NPI Number | 1144922097 |
|---|---|
| Provider Enumeration Date | 03/21/2023 |
| Last Update Date | 03/21/2023 |
| Certification Date | 03/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144922097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | (* (Not Available)) | Primary |
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