MERRITT W STITES LCSW PC NPI 1700020237

NPI Information

MERRITT W STITES LCSW PC is a mental health counselor in Salt Lake City, UT. MERRITT W STITES LCSW PC NPI is 1700020237. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

559 10TH AVE
SALT LAKE CITY, UT
ZIP 84103-108
Phone: (801) 359-2240
Fax: (801) 364-1433

The provider's authorized official is Merritt W Stites .
The authorized official title is Owner and has the following contact phone number (801) 359-2240.

The enumeration date for this NPI number is 4/28/2009 and was last updated on 3/5/2012.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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