Shaw, Vickie Dawn

Shaw, Vickie Dawn is an individual health care provider with primary practice located at 5965 S 900 E , Salt Lake City UT 84121-1720. She 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 / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Shaw, Vickie Dawn can be contacted via phone (801) 263-7100.

Contact Information

Primary practice address
5965 S 900 E Salt Lake City UT 84121-1720
Phone: (801) 263-7100
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 4947436-6006 Utah
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4947436-3503 Utah

Profile Details

NPI number 1629376058
LBN Legal business name Shaw, Vickie Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2011
Last updated Mar 9th, 2011 - about 14 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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