Individual
DOROTHEE LELIA SERPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2040 MURRAY HOLLADAY RD, SUITE 211, HOLLADAY, UT 84117-5185
(801) 272-5083
Mailing address
1088 CLIFF SIDE CT, SANDY, UT 84094-7242
(801) 272-5083
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
345818-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
475451
VENDOR NUMBER
UT
Enumeration date
11/01/2006
Last updated
09/12/2011
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