Healthcare Provider Details

I. General information

NPI: 1881536670
Provider Name (Legal Business Name): DAVID CHRISTOPHER HOUSLEY PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 MEDICAL DR STE B102
BOUNTIFUL UT
84010-4989
US

IV. Provider business mailing address

415 MEDICAL DR STE B102
BOUNTIFUL UT
84010-4989
US

V. Phone/Fax

Practice location:
  • Phone: 801-682-1062
  • Fax:
Mailing address:
  • Phone: 801-682-1062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number13212206-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: