Mcgoldrick, Keith
Mcgoldrick, Keith is an sole proprietor health care provider with primary practice located at 1733 S 1100 E Ste 102 , Salt Lake City UT 84105-3482. He recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Mcgoldrick, Keith can be contacted via phone (801) 486-6632.Contact Information
Primary practice address
1733 S 1100 E Ste 102
Salt Lake City UT 84105-3482
Phone: (801) 486-6632
Fax: (801) 877-9995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 9524802-2501 | Utah |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 9524802-2501 | Utah |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 9524802-2501 | Utah |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 9524802-2501 | Utah |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 9524802-2501 | Utah |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 9524802-2501 | Utah |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 9524802-2501 | Utah |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 9524802-2501 | Utah |
Profile Details
| NPI number | 1154565729 |
|---|---|
| LBN Legal business name | Mcgoldrick, Keith |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2009 |
| Last updated | Nov 5th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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