Organization
WASATCH PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN W WILKES PSYD (CLINICAL PSYCHOLOGIST)
(540) 421-6660
Entity
Organization
Contact information
Practice address
1060 E 100 S, SUITE 100, SALT LAKE CITY, UT 84102-1501
(801) 590-0525
Mailing address
1443 E LAIRD AVE, SALT LAKE CITY, UT 84105-1938
(540) 421-6660
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10086571-2501
UT
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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