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Individual

DR. SCOTT W. KADERA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4460 S. HIGHLAND DR, SUITE 100, SALT LAKE CITY, UT 84124
(801) 273-1085
Mailing address
635 DOWNINGTON AVE, SALT LAKE CITY, UT 84105-3020
(801) 323-0625

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4827325-2501
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4827325-2501
STATE PSYCH LICENSE
UT
Enumeration date
01/30/2006
Last updated
07/08/2007
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