Individual
ASHLEY GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
500 FOOTHILL BLVD, PSYCHOLOGY SERVICE BUILDING 47, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL BLVD, PSYCHOLOGY SERVICE BUILDING 47, SALT LAKE CITY, UT 84148-0001
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7133885-2405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7133885-2504
UTAH DIVISION OF OCCUPATIONAL LICENSING
UT
Enumeration date
11/20/2006
Last updated
12/01/2008
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