Individual
BETHANY SUE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS, NCSP
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-1641
Mailing address
213 W CIVIC CENTER DR APT 239, SANDY, UT 84070-1230
(815) 530-9348
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
745329
UT
Other
Enumeration date
05/16/2022
Last updated
05/18/2022
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