Organization
MARY JANN DEWITT LLC
Active
Other names
Jann DeWitt LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANN DEWITT PHD (CLINICAL PSYCHOLOGIST)
(801) 510-4547
Entity
Organization
Contact information
Practice address
1104 E ASHTON AVE STE 108, SALT LAKE CITY, UT 84106-2348
(801) 510-4547
Mailing address
1104 E ASHTON AVE STE 108, SALT LAKE CITY, UT 84106-2348
(801) 510-4547
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
308921-2501
UT
Other
Enumeration date
10/23/2017
Last updated
03/01/2020
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