Organization
JANN DEWITT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANN DEWITT PHD (OWNER)
(801) 510-4547
Entity
Organization
Contact information
Practice address
1104 ASHTON AVE, SUITE 108, SALT LAKE CITY, UT 84106-4504
(801) 510-4547
Mailing address
555 E 4500 S, SUITE C150, SALT LAKE CITY, UT 84107-4533
(801) 288-0747
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
308921-2501
UT
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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