Individual
KAILEY ANN RICHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
18177 HIGHWAY 220, CASPER, WY 82604-8742
(307) 267-3602
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
14168192-2501
UT
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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