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General NPI Number Information
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NPI Number | 1699481168
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Entity Type | Organization
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Legal Business Name | SALT LAKE PSYCHIATRY AND WELLNESS, PLLC
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Dates
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Enumeration Date | 01/27/2023
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 101 N FORT LN APT 105A
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City | LAYTON
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State | UT
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Zip | 84041-3409
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Country | US
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Telephone | 801-332-9201
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Fax | 385-558-5652
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Provider Business Mailing Address
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Address Line | 101 N FORT LN APT 105A
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City | LAYTON
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State | UT
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Zip | 84041-3409
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Country | US
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Telephone | 801-332-9201
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Fax | 385-558-5652
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Authorized Official
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Title or Position | DOCTOR
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Name | COLIN ANDREW RILEY
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Credential | DNP, PMHNP-BC
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Telephone | 801-332-9201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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