Sideline Sport Psychology PLLC
Sideline Sport Psychology PLLC is an Adult Mental Health Clinic/Center in Salt Lake City, Utah. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1336 S 1100 ESalt Lake City, UT 84105-2421
Phone: (385) 899-2251
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X |
|---|
Record details
| NPI number | 1053133322 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jourdan Johnson — Owner · (916) 690-0399 |
| NPI enumerated | October 29, 2024 |
| Last updated in NPPES | October 29, 2024 |
| Certification date | October 29, 2024 |
| Mailing address | 4715 S Bron Breck St, Holladay, UT 84117-6403 |
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