MEDICARE: PSYCHOLOGICAL SOLUTIONS USA LLC

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	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1538925037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHOLOGICAL SOLUTIONS USA LLC

Provider Business Mailing Address
First Line	:	8170 S HIGHLAND DR STE E5
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84093-6469
Country	:	US
Telephone Number	:	801-528-5140
Fax Number	:

Provider Business Practice Location Address
First Line	:	8170 S HIGHLAND DR STE E5
Second Line	:
City	:	SANDY
State	:	UT
Zip	:	84093-6469
Country	:	US
Telephone Number	:	801-528-5140
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELIZABETH GRIFFITH
Credential	:
Telephone Number	:	801-528-5140

Provider Enumeration Date	:	02/22/2024
Last Update Date	:	02/22/2024

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Directions to “PSYCHOLOGICAL SOLUTIONS USA LLC ” Practice Location

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