Polizzi Foundation
Prescribing (Medical) - Psychology Clinic
515 E 4500 S, Suite G220, Salt Lake City
Utah, 84107-4500
801-590-9557 801-590-9957
Maps & DirectionsPolizzi Foundation is a Prescribing (Medical) - Psychology Clinic in Salt Lake City, Utah. It is located at 515 E 4500 S, Suite G220, Salt Lake City, UT and its contact number is 801-590-9557. The authorized person for Polizzi Foundation is Ms. Liz Kociolek
who is Executive Director of the clinic and his/her contact number is 801-590-9557. The primary license number for Polizzi Foundation is 178852-1205 (Prescribing (Medical)) in Utah.
Polizzi Foundation Clinic is a licensed psychologist who has completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and is authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders.
Complete Clinic Profile:
Polizzi Foundation Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Polizzi Foundation |
| Specialization: | Prescribing (Medical) Psychology |
| Clinic Address: | 515 E 4500 S, Suite G220, Salt Lake City,
Utah, 84107-4500 |
| Phone: | 801-590-9557 |
| Fax: | 801-590-9957 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Ms. Liz Kociolek |
| Position: | Executive Director |
| Contact Number: | 801-590-9557 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Polizzi Foundation clinic are as mentioned below.
| NPI Number: | 1265976195 |
| NPI Enumeration Date: | 12 Dec, 2016 |
| NPI Last Update On: | 12 Dec, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Polizzi Foundation are as mentioned below.
| Specialization | License Number | State | Status | |
| Prescribing (Medical) | 178852-1205 | Utah | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Polizzi Foundation
515 E 4500 S, Suite G220
Salt Lake City, Utah |
| Zip: | 84107-4500 |
| Phone Number: | 801-590-9557 |
| Fax Number: | 801-590-5997 |
Patients can reach Polizzi Foundation at
515 E 4500 S, Suite G220, Salt Lake City, Utah or can
call to book an appointment on 801-590-9557.
*
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.