Individual
JULIEN T SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
100 N MEDICAL DR, SALT LAKE CITY, UT 84113-1103
(801) 588-3938
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(801) 588-3938
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2740632501
UT
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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