Provider Demographics
NPI:1184199721
Name:AHARON D. SHULIMSON, PH.D.
Entity type:Organization
Organization Name:AHARON D. SHULIMSON, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AHARON
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SHULIMSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:801-671-4048
Mailing Address - Street 1:1111 E BRICKYARD RD STE 205
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-2571
Mailing Address - Country:US
Mailing Address - Phone:801-671-4048
Mailing Address - Fax:801-467-2702
Practice Address - Street 1:1111 E BRICKYARD RD STE 205
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84106-2571
Practice Address - Country:US
Practice Address - Phone:801-671-4048
Practice Address - Fax:801-467-2702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-10
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty