IndividualActive
Jeffrey Pedersen, MD
NPI 1316478290 · Child & Adolescent Psychiatry Physician · Salt Lake City, UT
Provider details
- NPI number
- 1316478290
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 11762505-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
501 S Chipeta Way
Salt Lake City, UT 84108-1222
Phone: (801) 581-7951
Approximate (ZIP-level) locationGet directions
Mailing address
501 S Chipeta Way
Salt Lake City, UT 84108-1222
Registry dates
- Enumerated
- 2017-03-23
- Last updated
- 2022-07-08
- Certified
- 2022-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.