Pedersen, Bradley

Pedersen, Bradley is an individual health care provider with primary practice located at 340 E 100 S , Salt Lake City UT 84111-1702. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Pedersen, Bradley can be contacted via phone (801) 322-3222.

Contact Information

Primary practice address
340 E 100 S Salt Lake City UT 84111-1702
Phone: (801) 322-3222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1538477187
LBN Legal business name Pedersen, Bradley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2010
Last updated Sep 16th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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