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Polizzi Foundation
Prescribing (Medical) Psychologist in Salt Lake City, Utah
NPI 1265976195

Polizzi Foundation is a Prescribing (Medical) Psychologist based in Salt Lake City, UT and is specialized in Prescribing (Medical). Polizzi Foundation practices in Salt Lake City, UT. The NPI Number for Polizzi Foundation is 1265976195 and holds a License No. 178852-1205 (Utah).

The current practice location address for Polizzi Foundation is 515 E 4500 S, Salt Lake City, UT and can be reached out via phone at 801-590-9557 and via fax at 801-590-9957.

Location: 515 E 4500 S, Salt Lake City, UT, 84107-4500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265976195
Provider Name
Polizzi Foundation
Credential
Provider Entity Type
Organization
Address
515 E 4500 S, Salt Lake City, UT, 84107-4500
Phone Number
801-590-9557
Fax Number
801-590-9957
Provider Enumeration Date
12/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
515 E 4500 S
City
Salt Lake City
State
Utah
Zip
84107-4500
Phone Number
801-590-9557
Fax Number
801-590-9957
person
Provider Business Mailing Address Details
Address
515 E 4500 S
City
Salt Lake City
State
Utah
Zip
84107-4500
Phone Number
801-590-9557
Fax Number
801-590-9957
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
178852-1205 (Utah)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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