Individual
TARA SHARIFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
505 S MAIN ST STE 209, BOUNTIFUL, UT 84010-6398
(385) 244-0055
Mailing address
171 GARY WAY, NORTH SALT LAKE, UT 84054-1534
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
10476501-2501
UT
Other
Enumeration date
08/09/2011
Last updated
12/20/2017
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