| Utah Integrative Psychiatry & Addiction Medicine | |
|
1215 S 1680 W Orem UT 84058-4939 | |
| (801) 921-0031 | |
| Not Available |
| Full Name | Utah Integrative Psychiatry & Addiction Medicine |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1215 S 1680 W, Orem, Utah |
| Authorized Official Name and Position | Jason Lee Andersen (OWNER) |
| Authorized Official Contact | 8532770900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utah Integrative Psychiatry & Addiction Medicine 1215 S 1680 W Orem UT 84058-4939 Ph: (801) 921-0031 | Utah Integrative Psychiatry & Addiction Medicine 1215 S 1680 W Orem UT 84058-4939 Ph: (801) 921-0031 |
| NPI Number | 1023680386 |
|---|---|
| Provider Enumeration Date | 07/15/2021 |
| Last Update Date | 01/06/2022 |
| Certification Date | 01/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023680386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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