Individual
LORI KAY KOTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYI
Contact information
Practice address
1471 N 1200 W, OREM, UT 84057-2449
(801) 802-9464
Mailing address
750 N 200 W, PROVO, UT 84601-1677
(801) 373-4760
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7120882-2501
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2008
Last updated
03/15/2022
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