IndividualActive
L Shadow, MD
NPI 1922028497 · Child & Adolescent Psychiatry Physician · Salt Lake City, UT
Provider details
- NPI number
- 1922028497
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 3282171205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone: (801) 581-7951
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 413029
Salt Lake City, UT 84141-3029
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2013-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.