Individual
SOPHIA REY PONTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
550 N 300 W UNIT 3308, SALT LAKE CITY, UT 84103-2173
(315) 877-4103
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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