| Moonlit | |
|
1336 S 1100 E Salt Lake City UT 84105-2421 | |
| (385) 246-2522 | |
| (801) 810-1343 |
| Full Name | Moonlit |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1336 S 1100 E, Salt Lake City, Utah |
| Authorized Official Name and Position | Christopher Rufus Sweeney (RESIDENT PSYCHIATRIST) |
| Authorized Official Contact | 8015817951 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonlit 1336 S 1100 E Salt Lake City UT 84105-2421 Ph: (385) 246-2522 | Moonlit 1336 S 1100 E Salt Lake City UT 84105-2421 Ph: (385) 246-2522 |
| NPI Number | 1275348807 |
|---|---|
| Provider Enumeration Date | 02/11/2025 |
| Last Update Date | 02/20/2026 |
| Certification Date | 02/20/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275348807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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