| Teletherapeutics Health Incorporated | |
|
774 E 2100 S Salt Lake City UT 84106-1863 | |
| (888) 420-0589 | |
| (201) 646-3955 |
| Full Name | Teletherapeutics Health Incorporated |
|---|---|
| Speciality | Psychologist |
| Location | 774 E 2100 S, Salt Lake City, Utah |
| Authorized Official Name and Position | Yasir J. Ahmad (OWNER) |
| Authorized Official Contact | 7324851301 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Teletherapeutics Health Incorporated 79 Ogle Rd Old Tappan NJ 07675-7026 Ph: (732) 485-1301 | Teletherapeutics Health Incorporated 774 E 2100 S Salt Lake City UT 84106-1863 Ph: (888) 420-0589 |
| NPI Number | 1336885284 |
|---|---|
| Provider Enumeration Date | 05/12/2022 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Medicare PECOS PAC ID | 2264815034 |
|---|---|
| Medicare Enrollment ID | O20221221001058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336885284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Janet Barber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023175973 PECOS PAC ID: 1557743788 Enrollment ID: I20221221002573 |
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