Individual
MEGAN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
464 E 3RD AVE, SALT LAKE CITY, UT 84103-2967
(609) 462-5974
Mailing address
464 E 3RD AVE, SALT LAKE CITY, UT 84103-2967
(609) 462-5974
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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