NPI: 1215374798 · SALT LAKE CITY, UT 84115 · Clinical Social Worker · NPI assigned 05/24/2013
| Authorized Official | DALTON, GARY (DIVISION DIRECTOR) |
| NPI Enumeration Date | 05/24/2013 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 65 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90853 | Group psychotherapy (other than of a multiple-family group) | 65 | 24 | $1K |