Individual
DR. DEANNA LYNN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
501 CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-3230
Mailing address
501 CHIPETA WAY, SALT LAKE CITY, UT 84108-1222
(801) 587-3230
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4849720-2501
UT
103TC0700X
Clinical Psychologist
Primary
4849720-2501
UT
Other
Enumeration date
03/14/2006
Last updated
12/01/2021
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