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SUSAN LEE BENEDICT NPI 1740369214


NPI Information

NPI: 1740369214
Provider Name: SUSAN LEE BENEDICT
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Organization: UNIVERSITY OF UTAH PEDIATRIC SERVICES

PECOS Registration: Yes

Address:
100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113
Phone: (801) 587-7575
Get Directions

Susan Lee Benedict is a neurology with special qualifications in child neurology psychiatry neurology in Salt Lake City, UT with 27 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Susan Lee Benedict NPI is 1740369214. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1997

The provider's business location address is:

100 MARIO CAPECCHI DR
SALT LAKE CITY, UT
ZIP 84113-103
Phone: (801) 587-7575

The NPI 1740369214 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 12/3/2021.


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
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry4788504-1205UTAHNo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology4788504-1205UTAHYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.