<Unavail>

LBN: Mary Jann Dewitt Llc
<Unavail> is an health care organization with primary practice located at 1104 E Ashton Ave Ste 108 , Salt Lake City UT 84106-2348. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Mary Jann Dewitt Llc can be contacted via phone (801) 510-4547, or through Dewitt, Mary Jann via phone (801) 510-4547.

Contact Information

Primary practice address
1104 E Ashton Ave Ste 108 Salt Lake City UT 84106-2348
Phone: (801) 510-4547
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dewitt, Mary Jann PHD
Phone: (801) 510-4547

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 308921-2501 Utah

Profile Details

NPI number 1083125694
LBN Legal business name Mary Jann Dewitt Llc
DBA Doing business as <Unavail>
Authorized official Dewitt, Mary Jann PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2017
Last updated Mar 1st, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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