Individual
DR. MELISSA HANSEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1790 N STATE STREET, CENTER FOR CHANGE, OREM, UT 84057-2025
(801) 224-8255
(801) 224-8301
Mailing address
1790 N STATE STREET, CENTER FOR CHANGE, OREM, UT 84057-2025
(801) 224-8255
(801) 224-8301
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
63310022504
UT
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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