Individual
STEPHANIE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
170 S 1000 E STE 201, SALT LAKE CITY, UT 84102-1403
(801) 419-0139
Mailing address
946 E KENSINGTON AVE, SALT LAKE CITY, UT 84105-2314
(530) 638-2013
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
12076743-2501
UT
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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