Individual
DR. JAN ELLEN KADERABEK BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1103862501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107009442101
INTERMOUNTAIN HEALTH CARE
UT
01
—
261736
DESERET MUTUAL
UT
01
—
942938348BU1
EDUCATORS MUTUAL
UT
Enumeration date
06/14/2006
Last updated
07/09/2007
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