NPI 1740369214 · live from the CMS NPI Registry
Susan Lee Benedict
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Salt Lake City, UT. National Provider Identifier 1740369214, active.
NPI record
| NPI | 1740369214 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 100 Mario Capecchi Dr, Salt Lake City, UT 84113 |
| Practice phone | 801-587-7575 |
| Mailing address | Po Box 413021, Salt Lake City, UT 84141 |
| Enumerated | November 3, 2006 |
| Last updated | December 3, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | 4788504-1205 (UT) |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | 4788504-1205 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.