Justin Phillip Hudak | Murray, UT • PECOS Search

Justin Phillip Hudak

Social Worker

Behavioral Health & Social Service Providers

5882 S 900 E Ste 303, Murray, UT 84121-1693

PECOS Enrollment

Based on the most recent information from CMS, provider Justin Phillip Hudak does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1649069725
Provider Type
Individual
Full Name
Hudak, Justin Phillip
Title
Dr.
Credential
PHD, LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/5/2025
Last Updated
5/5/2025

Contact Information

Practice Location

5882 S 900 E Ste 303, Murray, UT 84121-1693

Unlisted Fax

Mailing Location

2002 S Douglas St Unit 1, Salt Lake City, UT 84105-3624

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 13105346-3501 Utah