Individual
MELISSA NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13073 WHEATFIELD WAY, DRAPER, UT 84020-9253
(801) 495-0946
Mailing address
13073 WHEATFIELD WAY, DRAPER, UT 84020-9253
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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