Individual
SAMANTHA ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(314) 218-8932
Mailing address
5171 S COTTONWOOD ST, MURRAY, UT 84107-5704
(801) 507-9800
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
11371944-2501
UT
103TC0700X
Clinical Psychologist
11371944-2501
UT
Other
Enumeration date
08/08/2019
Last updated
01/20/2020
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