Individual
DR. STEPHANIE JO PIRSIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
170 S 1000 E STE 201, SALT LAKE CITY, UT 84102-1403
(801) 419-0139
Mailing address
1357 E 4065 S, MILLCREEK, UT 84124-1452
(507) 320-2133
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
Primary
1297886202501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12978862-2501
UTAH STATE PSYCHOLOGIST LICENSE
UT
Enumeration date
09/28/2017
Last updated
07/21/2023
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