Individual
JESSICA D FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
501 S CHIPETA WAY, SALT LAKE CTY, UT 84108-1222
(214) 587-5377
Mailing address
501 S CHIPETA WAY, SALT LAKE CTY, UT 84108-1222
(214) 587-5377
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10988418-2501
UT
Other
Enumeration date
01/11/2012
Last updated
09/27/2022
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