Individual
DR. KRISTINA IRENE SUORSA-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 662-1000
Mailing address
815 E ROWLEY DR, MILLCREEK, UT 84107-3028
(401) 864-5906
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
12196719-2501
UT
Other
Enumeration date
07/26/2021
Last updated
12/20/2021
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