Individual
DIANNE LINDLEY NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
359 E 1200 S, OREM, UT 84058-6904
(801) 921-1200
Mailing address
930 N 1000 E, OREM, UT 84097-3413
(801) 592-3005
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5022361-2501
UT
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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