Individual
ELANA MAURIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
375 CHIPETA WAY STE A, SALT LAKE CITY, UT 84108-1261
(801) 587-3480
(801) 581-2771
Mailing address
375 CHIPETA WAY STE A, SALT LAKE CITY, UT 84108-1261
(801) 587-3480
(801) 581-2771
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6447291-2504
UT
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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