Individual
JAMIANNE DEE GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
501 CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-3211
Mailing address
442 10TH AVE, SALT LAKE CITY, UT 84103-2848
(801) 587-3211
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
107138-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20136
PEHP
UT
Enumeration date
11/13/2006
Last updated
07/08/2007
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