Individual
DR. CHRISTIANE NICOLE PANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7069 S HIGHLAND DR, FL 3, COTTONWOOD HEIGHTS, UT 84121-3724
(801) 441-0882
Mailing address
7069 S HIGHLAND DR, FL 3, COTTONWOOD HEIGHTS, UT 84121-3724
(801) 441-0882
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
10595791-2501
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1143611
—
NM
Enumeration date
07/30/2019
Last updated
06/30/2020
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