NPI: 1679330070 · SALT LAKE CITY, UT 84109 · Counseling Psychologist · NPI assigned 03/01/2024
| Authorized Official | MOALA, ELENOA (PROGRAM DIRECTOR) |
| NPI Enumeration Date | 03/01/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 19 | $3K |
| 2024 | 103 | $15K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90837 | Psychotherapy, 53 minutes with patient | 122 | 56 | $18K |