Individual
DR. TIFFANY JO MERRILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
500 FOOTHILL DR, 660/116, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
500 FOOTHILL DR, 660/116, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8763116-2501
UT
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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