L Kristin Shadow in Salt Lake City - Child & Adolescent Psychiatry
L Kristin Shadow - NPI 1922028497
L Kristin Shadow is a Child & Adolescent Psychiatry in Salt Lake City, Utah. L Kristin Shadow practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for L Kristin Shadow is 1922028497. The last update date is 2013-11-19.
L Kristin Shadow'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 L Kristin Shadow is 50 N Medical Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | L Kristin Shadow |
|---|---|
| Address | 50 N Medical Dr, Salt Lake City, Utah |
| Phone Number | 8015817951 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1922028497 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2013-11-19 |
Provider Mailing Address Detail
| Address | 50 N Medical Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841320100 |
| Phone Number | 8015817951 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 3282171205 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Post Comment/ Review Below
What is the unique identifier code issued to L Kristin Shadow by the Centers for Medicare & Medicaid Services (CMS)?
The L Kristin Shadow has been assigned the NPI (National Provider Identifier) 1922028497. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the L Kristin Shadow located?
The L Kristin Shadow is located at 50 N Medical Dr, Salt Lake City, UT 841320100.
What is the L Kristin Shadow's specialty and taxonomy code?
The L Kristin Shadow's specialty is Child & Adolescent Psychiatry, and the corresponding taxonomy code is 2084P0804X.
On what date did the L Kristin Shadow receive the assignment of its 1922028497 from the Centers for Medicare & Medicaid Services?
The L Kristin Shadow was issued its 1922028497 by the Centers for Medicare & Medicaid Services on 2006-07-20.
When was the information related to L Kristin Shadow most recently updated or refreshed?
The details pertaining to the L Kristin Shadow, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-11-19.