Pediatric Behavioral Health

LBN: Pediatric Behavioral Health
Pediatric Behavioral Health is an health care organization with primary practice located at 100 N Medical Dr Peds Behavioral Health, Salt Lake City UT 84113-1103. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is the primary health care specialty. Pediatric Behavioral Health can be contacted via phone (801) 662-2100, or through Clark, Edward B via phone (801) 587-7400.

Contact Information

Primary practice address
100 N Medical Dr Peds Behavioral Health Salt Lake City UT 84113-1103
Phone: (801) 662-2100
Fax: (801) 587-7741
Website:
Map and Directions
Authorized official contact:
Name: Clark, Edward B Doctor of Medicine (MD)
Phone: (801) 587-7400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X

Profile Details

NPI number 1942476569
LBN Legal business name Pediatric Behavioral Health
DBA Doing business as
Authorized official Clark, Edward B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2008
Last updated Sep 6th, 2011 - about 15 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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