| Sl-center Of Revitalizing Psychiatry | |
|
1935 E Vine St Ste 170 Murray UT 84121-2197 | |
| (801) 639-9833 | |
| (801) 639-9833 |
| Full Name | Sl-center Of Revitalizing Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1935 E Vine St Ste 170, Murray, Utah |
| Authorized Official Name and Position | Alina Nagdimunov (CO-OWNER/CEO) |
| Authorized Official Contact | 2156057469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sl-center Of Revitalizing Psychiatry 9814 S Chylene Dr Ste 220 Sandy UT 84092-3557 Ph: (215) 605-7469 | Sl-center Of Revitalizing Psychiatry 1935 E Vine St Ste 170 Murray UT 84121-2197 Ph: (801) 639-9833 |
| NPI Number | 1194691931 |
|---|---|
| Provider Enumeration Date | 10/16/2025 |
| Last Update Date | 10/16/2025 |
| Certification Date | 10/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194691931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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