Individual
KATHRYN STEWART NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
447 N 300 W STE 7, KAYSVILLE, UT 84037-4203
(801) 544-7413
Mailing address
PO BOX 1126, LAYTON, UT 84041-6139
(801) 544-7413
(801) 544-3819
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
369768-2501
UT
103TC2200X
Clinical Child & Adolescent Psychologist
369768-2501
UT
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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