Individual
KATIE ELISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
5770 S 1500 W, SALT LAKE CITY, UT 84123-5216
(801) 313-7770
(801) 313-7771
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(316) 978-3086
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
10946698-2501
UT
103TB0200X
Cognitive & Behavioral Psychologist
2701
KS
Other
Enumeration date
07/18/2016
Last updated
06/11/2024
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