Kelly Joan Lundberg in Salt Lake City - Clinical
Kelly Joan Lundberg - NPI 1669562278
Kelly Joan Lundberg is a Clinical in Salt Lake City, Utah. Kelly Joan Lundberg practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kelly Joan Lundberg is 1669562278. The last update date is 2007-07-08.
Kelly Joan Lundberg's current location address is 50 N Medical Dr, Salt Lake City, Utah. You can contact this provider via phone number 8015817951. The mailing address for Kelly Joan Lundberg is 50 N Medical Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Joan Lundberg |
|---|---|
| Address | 50 N Medical Dr, Salt Lake City, Utah |
| Phone Number | 8015817951 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1669562278 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 50 N Medical Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841320001 |
| Phone Number | 8015817951 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 116971-2501 |
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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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Post Comment/ Review Below
What is the unique identification code assigned to Kelly Joan Lundberg by the Centers for Medicare & Medicaid Services?
The Kelly Joan Lundberg has been issued the NPI (National Provider Identifier) 1669562278. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kelly Joan Lundberg is physically located?
The Kelly Joan Lundberg is situated at the following address: 50 N Medical Dr, Salt Lake City, UT 841320001.
What is the Kelly Joan Lundberg's area of specialization and corresponding taxonomy classification?
The Kelly Joan Lundberg's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.
When was the Kelly Joan Lundberg's 1669562278 issued?
The Kelly Joan Lundberg's 1669562278 was issued on 2006-10-13.
When was the information related to Kelly Joan Lundberg most recently updated or refreshed?
The details pertaining to the Kelly Joan Lundberg, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.