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NPI Code Detail

MEDICARE: ADVANCED BEHAVIORAL CARE, INC.

MEDICARE: ADVANCED BEHAVIORAL CARE, INC.
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
1103TA0700XAdult Development & Aging Psychologist
2101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1013981935
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED BEHAVIORAL CARE, INC.
Provider Business Mailing Address
First Line : 1545 E 3300 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-3370
Country : US
Telephone Number : 801-478-2780
Fax Number : 801-478-2781
Provider Business Practice Location Address
First Line : 1545 E 3300 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-3370
Country : US
Telephone Number : 801-478-2780
Fax Number : 801-478-2781
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : DR. ELIZABETH EARLE-BOYER
Credential : PH.D.
Telephone Number : 801-478-2780
Provider Enumeration Date : 02/15/2006
Last Update Date : 09/11/2025

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