Healthcare Provider Details

I. General information

NPI: 1184402984
Provider Name (Legal Business Name): CHRISTINA SCHARMER PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2023
Last Update Date: 09/21/2023
Certification Date: 09/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1336 S 1100 E STE 102
SALT LAKE CITY UT
84105-2421
US

IV. Provider business mailing address

661 S PARK ST UNIT 1
SALT LAKE CITY UT
84102-3324
US

V. Phone/Fax

Practice location:
  • Phone: 801-432-8032
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number12987536-2501
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: