Individual
CASSIE DANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
500 FOOTHILL DR, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
2577 E SIMPSON AVE, SALT LAKE CITY, UT 84109-1338
(801) 671-6314
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11455930-2501
UT
103TH0004X
Health Psychologist
11455930-2501
UT
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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