Individual
MELISSA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 E 100 S STE 250, SALT LAKE CITY, UT 84111-1643
(801) 483-2447
Mailing address
265 E 100 S STE 250, SALT LAKE CITY, UT 84111-1643
(304) 376-0723
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10985147-2501
UT
Other
Enumeration date
06/18/2018
Last updated
03/29/2021
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