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AGING CLINIC OF SOUTHERN UTAH PLLC NPI 1043091960


NPI Information

NPI: 1043091960
Provider Name: AGING CLINIC OF SOUTHERN UTAH PLLC
Classification: Psychologist - 103T00000X
Entity Type: Organization
Address:
94 S 300 E
CEDAR CITY, UT
ZIP 84720
Phone: (435) 277-0285
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AGING CLINIC OF SOUTHERN UTAH PLLC is a psychologist in Cedar City, UT. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. AGING CLINIC OF SOUTHERN UTAH PLLC NPI is 1043091960. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

94 S 300 E
CEDAR CITY, UT
ZIP 84720-318
Phone: (435) 277-0285

The provider's authorized official is Kirsten Leigh Graham .
The authorized official title is Owner/provider and has the following contact phone number (435) 277-0285.

The enumeration date for this NPI number is 10/6/2023 and was last updated on 2/20/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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