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NPI Code Detail

MEDICARE: DONALD STEPHEN STRASSBERG PH.D.

MEDICARE:   DONALD STEPHEN STRASSBERG  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist108230-2501UT

General Provider Information

NPI Number : 1558565317
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONALD STEPHEN STRASSBERG PH.D.
Provider Business Mailing Address
First Line : 380 S 1530 E RM 502
Second Line : UNIVERSITY OF UTAH
City : SALT LAKE CITY
State : UT
Zip : 84112-0259
Country : US
Telephone Number : 801-581-7559
Fax Number : 801-581-5841
Provider Business Practice Location Address
First Line : 380 S 1530 E RM 502
Second Line : UNIVERSITY OF UTAH
City : SALT LAKE CITY
State : UT
Zip : 84112-0259
Country : US
Telephone Number : 801-581-7559
Fax Number : 801-581-5841
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2007
Last Update Date : 07/08/2007

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Directions to “ DONALD STEPHEN STRASSBERG PH.D.” Practice Location

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