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institution
Utah State University
Developmental Disabilities Clinic/Center in Logan, Utah
NPI 1174694095

Utah State University is a Developmental Disabilities Clinic/Center based in Logan, UT and is specialized in Developmental Disabilities. Utah State University practices in Logan, UT. The NPI Number for Utah State University is 1174694095 and holds a License No. (Utah).

The current practice location address for Utah State University is 6802 Old Main Hill, Logan, UT and can be reached out via phone at 435-797-2750 and via fax at 435-797-4054.

Location: 6802 Old Main Hill, Logan, UT, 84322-6802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174694095
Provider Name
Utah State University
Credential
Provider Entity Type
Organization
Address
6802 Old Main Hill, Logan, UT, 84322-6802
Phone Number
435-797-2750
Fax Number
435-797-4054
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6802 Old Main Hill
City
Logan
State
Utah
Zip
84322-6802
Phone Number
435-797-2750
Fax Number
435-797-4054
person
Provider Business Mailing Address Details
Address
6802 Old Main Hill
City
Logan
State
Utah
Zip
84322-6802
Phone Number
435-797-2750
Fax Number
435-797-4054
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
(Utah)
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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