Individual
NATALIE KIRTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
380 E MAIN ST BLDG B2ND, MIDWAY, UT 84049-6801
(435) 633-6264
Mailing address
844 W 880 N, OREM, UT 84057-8446
(801) 362-0155
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10244471-2501
UT
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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