| Doctor Name: | DR. JOE MARTIN UTAY |
| NPI Number: | 1013242148 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PC002229 |
| Business Practice Address: | 12045 Perry Hwy Wexford, PA - 150908394 |
| Business Phone Number: | 7249401090 |
| Business Fax Number: | 7249401030 |
| Mailing Address: | 12045 Perry Hwy, WEXFORD |
| State: | PA |
| Postal Code: | 150908394 |
| Phone Number: | 7249401090 |
| Fax Number: | 7249401030 |
| NPI Enumeration Date: | 10/07/2009 |
| NPI Last Update Date: | 10/07/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | PC002229 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |