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SUSAN IMHOFF BIRD NPI 1750890935


NPI Information

NPI: 1750890935
Provider Name: SUSAN IMHOFF BIRD

Doing Business As: CENTERED EARTH COUNSELING

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
4505 S WASATCH BLVD STE 320
SALT LAKE CITY, UT
ZIP 84124
Phone: (801) 541-5205
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SUSAN IMHOFF BIRD is a clinic center in Salt Lake City, UT. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SUSAN IMHOFF BIRD NPI is 1750890935. The provider is registered as an organization entity type.
The provider Is Doing Business As Centered Earth Counseling.

The provider's business location address is:

4505 S WASATCH BLVD STE 320
SALT LAKE CITY, UT
ZIP 84124-755
Phone: (801) 541-5205
Fax: (801) 541-5205

The provider's authorized official is Susan Imhoff Bird .
The authorized official title is Owner and has the following contact phone number (801) 541-5205.

The enumeration date for this NPI number is 9/20/2017 and was last updated on 9/20/2017.


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
1261Q00000XClinic/Center288938-3501UTAHYes

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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