Pediatric Behavioral Health
Developmental - Behavioral Pediatrics
Pediatric Behavioral Health is a Salt Lake City, Utah based Pediatric center with medical specialization in
Developmental - Behavioral Pediatrics.
It is located at
100 N Medical Dr, Peds Behavioral Health, Salt Lake City, Utah - 84113-1103. They can be contacted on phone at
801-662-2100 and fax number 801-587-7741.
NPI number (Unique professional ID) for Pediatric Behavioral Health is
1942476569 which was assigned by NPPES on 03 May, 2008 and it was last updated on 06 Sep, 2011.
Pediatric Behavioral Health is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Pediatric Behavioral Health basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
|---|
| Provider Name : | Pediatric Behavioral Health |
|---|
Business Address:
Pediatric Behavioral Health address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 100 N Medical Dr, Peds Behavioral Health
Salt Lake City, UT, 84113-1103
United States |
|---|
| Phone Number : | 801-662-2100 |
|---|
| Fax Number : | 801-587-7741 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1942476569 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 03 May, 2008 |
|---|
| Last Updated On : | 06 Sep, 2011 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Edwardb Clark |
|---|
| Authorized Official Credential : | MD |
|---|
| Official Title or Position : | CHAIRPERSON |
|---|
| Phone Number : | 801-587-7400 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pediatric Behavioral Health are as mentioned. Primary taxonomy code for Pediatric Behavioral Health is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | | |
| 2080P0008X | Pediatrics Neurodevelopmental Disabilities | No | | |
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 295 Chipeta Way, U Of U Som Dept Of Pediatrics
Salt Lake City, UT, 84108-1220
United States |
|---|
| Phone Number : | 801-587-7400 |
|---|
| Fax Number : | 801-587-7417 |
|---|
Business Location:
Patients can refer following map for directions to
Pediatric Behavioral Health practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.