Provider Demographics
NPI:1255496931
Name:SHULIMSON, AHARON DAVID (PHD)
Entity Type:Individual
Prefix:DR
First Name:AHARON
Middle Name:DAVID
Last Name:SHULIMSON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1036 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84105-1407
Mailing Address - Country:US
Mailing Address - Phone:801-524-0134
Mailing Address - Fax:801-262-1988
Practice Address - Street 1:5248 PINEMONT DR
Practice Address - Street 2:SUITE C-110
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-2702
Practice Address - Country:US
Practice Address - Phone:801-281-3188
Practice Address - Fax:801-262-1988
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT116417-2501103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist