Individual
EMILY MOULTON PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 581-2205
Mailing address
3521 S 1200 E FRNT, MILLCREEK, UT 84106-4489
(215) 913-7403
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11488528-2501
UT
Other
Enumeration date
04/21/2020
Last updated
11/10/2021
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