Utah State University in Logan - Clinical
Utah State University - NPI 1811058076
Utah State University is a Clinical in Logan, Utah. Utah State University practices all healthcare services and medical treatments related to Clinical. The NPI Number for Utah State University is 1811058076. The last update date is 2020-08-22.
Utah State University's current location address is 2810 Old Main Hl, Logan, Utah. You can contact this provider via phone number 4357973401 and fax number 4357971448. The mailing address for Utah State University is 2810 Old Main Hl, Logan, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Utah State University |
|---|---|
| Address | 2810 Old Main Hl, Logan, Utah |
| Phone Number | 4357973401 |
| Fax Number | 4357971448 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Reck J. Kathy |
| Telephone Number | 4357972032 |
NPI Number Detail
| NPI Number | 1811058076 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2810 Old Main Hl |
|---|---|
| City | Logan |
| State | Utah (UT) |
| Post Code | 843222810 |
| Phone Number | 4357973401 |
| Fax Number | 4357971448 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 5805022-2501 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5805022250001 | UT | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Utah State University by the Centers for Medicare & Medicaid Services?
The Utah State University has been issued the NPI (National Provider Identifier) 1811058076 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Utah State University located?
The Utah State University is located at 2810 Old Main Hl, Logan, UT 843222810.
What is Utah State University's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Utah State University's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did the Utah State University receive its 1811058076?
The Utah State University was issued its 1811058076 on 2006-12-12, which is the date when the organization was assigned this unique identifier.
When was the Utah State University's information last updated?
The Utah State University's information was last updated on 2020-08-22.