| Pd Psychological Services Pllc | |
|
314 N Center St Salt Lake City UT 84103-1625 | |
| (773) 645-1707 | |
| Not Available |
| Full Name | Pd Psychological Services Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 314 N Center St, Salt Lake City, Utah |
| Authorized Official Name and Position | Patrick Dawley (OWNER) |
| Authorized Official Contact | 7736451707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pd Psychological Services Pllc 314 N Center St Salt Lake City UT 84103-1625 Ph: (773) 645-1707 | Pd Psychological Services Pllc 314 N Center St Salt Lake City UT 84103-1625 Ph: (773) 645-1707 |
| NPI Number | 1922873074 |
|---|---|
| Provider Enumeration Date | 11/20/2023 |
| Last Update Date | 06/21/2026 |
| Certification Date | 06/21/2026 |
| Medicare PECOS PAC ID | 0547798936 |
|---|---|
| Medicare Enrollment ID | O20250113003331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922873074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Patrick Dawley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114550068 PECOS PAC ID: 3678943743 Enrollment ID: I20230105003000 |
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