Individual
DR. CORINNE RAE HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11620 S STATE ST STE 1403, DRAPER, UT 84020-7124
(801) 999-8840
Mailing address
11523 S GINGER ROOT CT, DRAPER, UT 84020-9471
(801) 618-8134
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6757242-2501
UT
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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