Individual
KADE MARTINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
940 N 400 E STE 206, NORTH SALT LAKE, UT 84054-1985
(435) 557-0758
Mailing address
940 N 400 E STE 206, NORTH SALT LAKE, UT 84054-1985
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8686166-2501
UT
Other
Enumeration date
04/27/2023
Last updated
01/02/2025
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