Organization
QUASSAPAUG VENTURES
Active
Other names
Kathryn Stewart, Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN M STEWART PH.D. (PSYCHOLOGIST)
(801) 544-7413
Entity
Organization
Contact information
Practice address
447 N 300 W, SUITE 7, KAYSVILLE, UT 84037-4203
(801) 544-7413
(801) 544-3819
Mailing address
447 N 300 W, SUITE 7, KAYSVILLE, UT 84037-4203
(801) 544-7413
(801) 544-3819
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
369768-2501
UT
103TC2200X
Clinical Child & Adolescent Psychologist
369768-2501
UT
Other
Enumeration date
05/15/2007
Last updated
07/30/2014
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