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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. AUDREY MAYA WADHWANI, PHARMD

Active Sole Proprietor

DR. AUDREY MAYA WADHWANI, PHARMD is a Adult Mental Health Clinic healthcare provider located in SALT LAKE CITY, Utah. NPI 1467002253 is currently active in the NPPES registry. Verify at CMS.

Adult Mental Health Clinic · SALT LAKE CITY, UT

Registration Details

NPI Number
1467002253
Provider Type
Individual
Gender
Female
NPI Issued
Sep 13, 2019 (6.9650279723037 yrs)
Last Updated
Sep 13, 2019
License
P8181 (ID)
Sole Proprietor
Yes

Practice Information

Address
500 FOOTHILL DR
SALT LAKE CITY, UT, 841480001
Browse UT providers · Browse ZIP 84148
Phone
8015821565
Primary Specialty
Adult Mental Health Clinic
261QM0850X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.