MEDICARE: DR. PAIGE VICTORIA DUBROW PSYCHOLOGIST

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
1	103T00000X	Psychologist	14058412-2501	UT

General Provider Information

NPI Number	:	1336752666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAIGE VICTORIA DUBROW PSYCHOLOGIST

Provider Business Mailing Address
First Line	:	240 MORRIS AVE
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84115-3277
Country	:	US
Telephone Number	:	801-587-8020
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 MORRIS AVE STE 400
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84115-3295
Country	:	US
Telephone Number	:	801-587-8020
Fax Number	:	802-585-5723

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2020
Last Update Date	:	03/09/2026

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