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NPI Code Detail

MEDICARE: DR. STEVEN A SZYKULA PH.D.

MEDICARE: DR. STEVEN A SZYKULA 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
1103TC0700XClinical Psychologist110839-2501UT

General Provider Information

NPI Number : 1942224829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN A SZYKULA PH.D.
Provider Business Mailing Address
First Line : 1208 E 3300 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-2522
Country : US
Telephone Number : 801-483-1600
Fax Number : 801-483-1610
Provider Business Practice Location Address
First Line : 1208 E 3300 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-2522
Country : US
Telephone Number : 801-483-1600
Fax Number : 801-483-1610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 07/08/2007

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