Great Salt Lake Wellness Inc
Great Salt Lake Wellness Inc provides Clinical Psychologist services in Kaysville, Utah. Licensed in Utah. Registered with an NPI since 2015.
- Licensed in
- UT
- In the registry since
- 2015
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
375 N Main St Ste 202Kaysville, UT 84037-1278
Phone: (801) 844-1615
Fax: (801) 825-1162
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 7510289-2501 (UT) |
|---|
Record details
| NPI number | 1790152940 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Emily Bullock — Owner · (801) 389-9521 |
| NPI enumerated | August 24, 2015 |
| Last updated in NPPES | April 17, 2024 |
| Certification date | April 17, 2024 |
| Mailing address | 375 N Main St Ste 202, Kaysville, UT 84037-1278 |
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