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NPI Code Detail

MEDICARE: DR. KAREN CONE-UEMURA PHD

MEDICARE:  DR. KAREN  CONE-UEMURA  PHD
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
1103TC1900XCounseling Psychologist

General Provider Information

NPI Number : 1922478650
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KAREN CONE-UEMURA PHD
Provider Business Mailing Address
First Line : 584 E 11TH AVE
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84103-3205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 S 1460 EAST
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84112-9061
Country : US
Telephone Number : 385-743-1799
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2015
Last Update Date : 10/07/2015

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