Individual
ANGELA ENNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
201 S 1460 E RM 426, SALT LAKE CITY, UT 84112-9061
(801) 586-6826
Mailing address
201 S 1460 E RM 426, SALT LAKE CITY, UT 84112-9061
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11762359-2501
UT
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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