Individual
ELYSE FRANCES COOLIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2666 S 2000 E STE 101, SALT LAKE CITY, UT 84109-1721
(801) 864-4077
Mailing address
2666 S 2000 E STE 101, SALT LAKE CITY, UT 84109-1721
(801) 864-4077
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
11320286-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
11320286-1205
UT
Other
Enumeration date
05/08/2014
Last updated
06/11/2024
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