Provider Demographics
NPI:1942503867
Name:PSYCHOLOGICAL SOLUTIONS, INC
Entity Type:Organization
Organization Name:PSYCHOLOGICAL SOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:S.
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:SMOOT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:435-425-2234
Mailing Address - Street 1:7105 HIGHLAND DR
Mailing Address - Street 2:SUITE 304
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84121-3753
Mailing Address - Country:US
Mailing Address - Phone:435-425-2234
Mailing Address - Fax:435-425-3635
Practice Address - Street 1:7105 HIGHLAND DR
Practice Address - Street 2:SUITE 304
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84121-3753
Practice Address - Country:US
Practice Address - Phone:435-425-2234
Practice Address - Fax:435-425-3635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4913128-2501103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty