DR. KELLY D GARRETT


Address: 333 South 900 East, Salt Lake City, UT 84102-2310
Phone: 8015358163

DR. KELLY D GARRETT (NPI# 1245251776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245251776
Entity Type Individual
Full Name DR. KELLY D GARRETT
Credential PHD
Practice Address 333 South 900 East
Salt Lake City
UT 84102-2310
Practice Telephone 8015358163
Practice Fax Number 8013554011
Mailing Telephone 8015358163
Mailing Fax Number 8013554011
Enumeration Date 2006-07-21
Last Update Date 2012-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 52141022501 UT Behavioral Health & Social Service Providers

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Office Location

Street Address 333 SOUTH 900 EAST
City SALT LAKE CITY
State UT
Zip Code 84102-2310

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1649741802 Colten Vancampen Behavior Technician 515 S 700 E #2a, Salt Lake City, UT 84102 2018-12-16
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770954356 Erin Elizabeth Krauskopf Clinical Neuropsychologist 231 E 400 S Ste 335, Salt Lake City, UT 84111-2806 2015-10-08
1528469947 Jordan Harris Rigby Clinical Neuropsychologist 230 S 500 E Ste 100, Salt Lake City, UT 84102-2048 2014-09-05
1154565729 Keith Mcgoldrick Clinical Neuropsychologist 1733 S 1100 E Ste 102, Salt Lake City, UT 84105-3482 2009-04-27
1356593297 Dustin Bradshaw Hammers Clinical Neuropsychologist 650 Komas Dr Ste 106a, Salt Lake City, UT 84108-1225 2008-10-22
1770612863 Elaine Clark Clinical Neuropsychologist 501 Chipita Way, Univ of Utah Neuropsychiatric Institute, Salt Lake City, UT 84108 2007-03-05
1831150374 Juan A. Mejia Clinical Neuropsychologist 327 Denver St, Salt Lake City, UT 84111-3002 2006-03-31
1295720969 Kevin Duff Clinical Neuropsychologist 650 Komas Dr, 106a, Salt Lake City, UT 84108-1215 2005-09-19
1518453406 Joseph Un Kim Clinical Neuropsychologist 501 S Chipeta Way, Salt Lake City, UT 84108-1222 2018-07-03
1912362591 Kelly Konopacki Clinical Neuropsychologist 501 Chipeta Way, Salt Lake City, UT 84108 2015-12-23
1922394220 Jeremy J Davis Clinical Neuropsychologist 30 N 1900 E, 1r55, Salt Lake City, UT 84132-0002 2011-06-24
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Competitor

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City SALT LAKE CITY
Zip Code 84102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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