Individual
DR. KIMBERLEE MARIE ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
100 MARIO CAPECCHI DR, DIVISION OF BEHAVIORAL HEALTH (MS52), SALT LAKE CITY, UT 84113-1103
(801) 662-6755
(801) 662-6756
Mailing address
100 MARIO CAPECCHI DR, DIVISION OF BEHAVIORAL HEALTH (MS52), SALT LAKE CITY, UT 84113-1103
(801) 662-6755
(801) 662-6756
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
7364557-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7364557-2501
LICENSE NUMBER
UT
Enumeration date
08/25/2009
Last updated
08/25/2009
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