Individual
KATHERINE HAVLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 583-2500
Mailing address
501 S CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(015) 832-5008
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
12015949-2501
UT
Other
Enumeration date
05/21/2019
Last updated
11/03/2021
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