Doctor Name: | PATRICK PRICE ADAMS |
NPI Number: | 1093051963 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PPA |
License Number: | |
Business Practice Address: | 3106 W 3725 S West Valley City, UT - 841194322 |
Business Phone Number: | 8019796411 |
Business Fax Number: | |
Mailing Address: | 3106 W 3725 S, WEST VALLEY CITY |
State: | UT |
Postal Code: | 841194322 |
Phone Number: | 8019796411 |
Fax Number: | |
NPI Enumeration Date: | 12/21/2012 |
NPI Last Update Date: | 04/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |