Provider Demographics
NPI:1467812016
Name:WASATCH ASSESSMENTS, LLC
Entity Type:Organization
Organization Name:WASATCH ASSESSMENTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PRITT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-991-0628
Mailing Address - Street 1:275 W 200 N
Mailing Address - Street 2:SUITE 8
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-1861
Mailing Address - Country:US
Mailing Address - Phone:801-991-0628
Mailing Address - Fax:801-660-1186
Practice Address - Street 1:275 W 200 N
Practice Address - Street 2:SUITE 8
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-1861
Practice Address - Country:US
Practice Address - Phone:801-991-0628
Practice Address - Fax:801-660-1186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7493998-3501261QM0850X, 261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health