Individual
JAMES ROBERT PEWITT YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(850) 582-1565
Mailing address
230 W NORTH TEMPLE APT 510, SALT LAKE CITY, UT 84103-4813
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11926371-2501
UT
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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