Individual
KARLA BENNION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
313 E 1200 S, STE 101, OREM, UT 84058-6972
(801) 687-6577
Mailing address
313 E 1200 S, STE 101, OREM, UT 84058-6972
(801) 687-6577
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
376636-2501
UT
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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