DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ASSAUGE

MEDICARE: ASSAUGE
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1053084434
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASSAUGE
Provider Business Mailing Address
First Line : 1537 S MAIN ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-5315
Country : US
Telephone Number : 435-720-8338
Fax Number :
Provider Business Practice Location Address
First Line : 1537 S MAIN ST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84115-5315
Country : US
Telephone Number : 435-720-8338
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PETER CONDER
Credential : CMHC
Telephone Number : 435-720-8338
Provider Enumeration Date : 07/30/2021
Last Update Date : 07/30/2021

Similar Medicare Providers

1942339122 — MARIE RUSHFORTH-NUTTALL LPC
Practice Location Address:
1537 S MAIN ST
SALT LAKE CITY, UT
84115-5315
Practice Phone: 801-712-3252
Practice Fax:
1396915609 — DR. JULIA CONNELLY PH.D.
Practice Location Address:
1537 S MAIN ST
SALT LAKE CITY, UT
84115-5315
Practice Phone: 385-777-9444
Practice Fax:
1639776693 — TAEKO MICHELLE COLBERT
Practice Location Address:
1537 S MAIN ST
SALT LAKE CITY, UT
84115-5315
Practice Phone: 385-777-9444
Practice Fax:
1518620822 — WILLIAM MCCREARY PH.D
Practice Location Address:
1537 S MAIN ST
SALT LAKE CITY, UT
84115-5315
Practice Phone: 385-777-9444
Practice Fax:
1073276390 — THE AUTISM CLINIC
Practice Location Address:
1537 S MAIN ST
SALT LAKE CITY, UT
84115-5315
Practice Phone: 385-777-9444
Practice Fax:
1922757848 — STACY ACKERLIND
Practice Location Address:
1537 S MAIN ST
SALT LAKE CITY, UT
84115-5315
Practice Phone: 801-981-5998
Practice Fax:

Directions to “ASSAUGE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.