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TIMBER RIDGE HOLDINGS LLC NPI 1508098906


NPI Information

NPI: 1508098906
Provider Name: TIMBER RIDGE HOLDINGS LLC
Classification: Psychiatry & Neurology - 2084N0600X
Entity Type: Organization

Specialization: Clinical Neurophysiology

Address:
448 E 5350 S STE B
WASHINGTON TERRACE, UT
ZIP 84405
Phone: (801) 540-4564
Get Directions

TIMBER RIDGE HOLDINGS LLC is a clinical neurophysiology psychiatry neurology in Washington Terrace, UT. The provider is clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). TIMBER RIDGE HOLDINGS LLC NPI is 1508098906. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

448 E 5350 S STE B
WASHINGTON TERRACE, UT
ZIP 84405-415
Phone: (801) 540-4564

The provider's authorized official is Brian Pennocks .
The authorized official title is Medical Director and has the following contact phone number (801) 698-1160.

The enumeration date for this NPI number is 8/18/2009 and was last updated on 8/18/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0600XPsychiatry & NeurologyClinical NeurophysiologyYes

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: 4/28/2024

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