IndividualActive
Paul Stevens, M.D.
NPI 1366736886 · Child & Adolescent Psychiatry Physician · Salt Lake City, UT
Provider details
- NPI number
- 1366736886
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 361354-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
650 S Komas Dr Ste 200
Salt Lake City, UT 84108-1241
Phone: (801) 581-5515
Fax: (801) 581-8979
Approximate (ZIP-level) locationGet directions
Mailing address
650 S Komas Dr Ste 200
Salt Lake City, UT 84108-1241
Registry dates
- Enumerated
- 2011-06-01
- Last updated
- 2021-11-23
- Certified
- 2021-11-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.